Individual
TYLER WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 RAPIDS RD, COLUMBIA, SC 29212-3016
(803) 673-0780
Mailing address
575 RAPIDS RD, COLUMBIA, SC 29212-3016
(803) 673-0780
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
4374
SC
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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