Individual
DR. MIKE O TYLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,
Contact information
Practice address
9565 HIGHWAY 78 BLDG 100, LADSON, SC 29456-4118
(843) 553-7615
(843) 553-1008
Mailing address
9565 HIGHWAY 78 BLDG 100, LADSON, SC 29456-4118
(843) 553-7615
(843) 553-1008
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
8587
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085874
—
SC
Enumeration date
04/27/2006
Last updated
07/26/2023
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