Individual
TYLER JOSEPH BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2145 HENRY TECKLENBURG DR STE 220, CHARLESTON, SC 29414-5894
(843) 723-8823
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4958
SC
Other
Enumeration date
09/11/2017
Last updated
02/09/2024
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