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NPI Code Detail

MEDICARE: DR. D DARWIN TYRRELL DMD

MEDICARE: DR. D DARWIN TYRRELL DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry3020AL

General Provider Information

NPI Number : 1861532012
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. D DARWIN TYRRELL DMD
Provider Business Mailing Address
First Line : 1901 HAND AVE
Second Line :
City : BAY MINETTE
State : AL
Zip : 36507-4112
Country : US
Telephone Number : 251-937-9501
Fax Number : 251-937-9869
Provider Business Practice Location Address
First Line : 1901 HAND AVE
Second Line :
City : BAY MINETTE
State : AL
Zip : 36507-4112
Country : US
Telephone Number : 251-937-9501
Fax Number : 251-937-9869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 07/08/2007

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