Individual
ANDREW LANE KYZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2000
Mailing address
1304 TWELVE OAKS LN, FLORENCE, SC 29501
(803) 315-4791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5705
SC
Other
Enumeration date
02/10/2025
Last updated
04/01/2025
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