Individual
MICHAEL OWENS TYLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE # MSC908, CHARLESTON, SC 29425-8908
(843) 792-1086
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
45415
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
90517
SC
Other
Enumeration date
04/13/2021
Last updated
06/03/2025
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