Mary G. Tierney
Family Doctor Family Doctor - Sports Medicine
30 W Swartzville Rd
Reinholds
, Pennsylvania 17569-9641
Mary G. Tierney
Family Doctor Family Doctor - Sports Medicine
30 W Swartzville Rd
Reinholds
, Pennsylvania 17569-9641
(717) 484-0968
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Mary G. Tierney
- 3421 Concord Rd
- York, PA
- Zip : 17402-9001
- Fax : (717) 484-0968
- Phone : (717) 484-4347
Second Address
- Mary G. Tierney
- 30 W Swartzville Rd
- Reinholds, PA
- Zip : 17569-9641
- Fax : (717) 484-0968
- Phone : (717) 484-4347
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | MD456991 | PA |
| Y | 207QS0010X | Family Doctor - Sports Medicine | MD456991 | PA |
National Provider Identifier
| NPI | 1073889499 |
|---|---|
| Provider Name | Mary G. Tierney |
| First Address | York, PA 17402-9001 |
| Second Address | Reinholds, PA 17569-9641 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2012 |
| Last Update Date | 12/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 103170034 | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.