Individual
LINDA TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2693
Mailing address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2693
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
307
SC
Other
Enumeration date
06/27/2014
Last updated
06/28/2014
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