Tyler Bagley Vereen, M.D.

Pediatrics Physician · Clyde, NC

Individual Active NPI

NPI number 1043419666

Practice location

15 Facility Dr
Clyde, NC 28721-9438
Phone
(828) 452-2211
Fax
(828) 452-4421

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NPI record

NPI
1043419666
Entity type
Individual (Type 1)
Enumeration date
July 13, 2007
Last updated
October 4, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 2012-01881 NC
Pediatrics Physician 208000000X LL29898 SC

About Dr. Vereen

Tyler Bagley Vereen, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 15 Facility Dr, Clyde, NC 28721-9438. The NPI number 1043419666 was assigned on July 13, 2007 and the record was last updated on October 4, 2012.

Dr. Vereen lists 2 licenses in the registry: #2012-01881 (NC) for Pediatrics Physician; #LL29898 (SC) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyler Bagley Vereen, M.D.?

The NPI number is 1043419666.

What is the phone number of Dr. Vereen?

The phone number listed for the practice location is (828) 452-2211.

Where is Dr. Vereen located?

15 Facility Dr, Clyde, NC 28721-9438.

What is the taxonomy code for Dr. Vereen?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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