Individual
TYLAR STEIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
805 PAMPLICO HWY STE 230, FLORENCE, SC 29505-6047
(843) 792-1414
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4285
SC
Other
Enumeration date
02/07/2022
Last updated
03/21/2022
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