Individual provider · Type 1 NPI

Brandon Lee Tingley, PA-C

Surgical Physician Assistant · Raleigh, NC

NPI number 1851647713 Active

Practice location

3009 New Bern Ave
Raleigh, NC 27610-1214

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant Primary	363AS0400X	None listed

Surgical Physician Assistant: Definition to come...

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About NPI 1851647713

Brandon Lee Tingley, PA-C's National Provider Identifier is 1851647713, issued on Jul 30, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Raleigh, NC. The record was last updated on Jul 30, 2012.