Individual
CHRISTOPHER BRADLEY TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2000
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(438) 777-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
23978
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN3136
—
SC
Enumeration date
05/28/2020
Last updated
08/02/2023
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