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Individual

CHANDLER TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC 29203-6862
(803) 223-5891
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7320

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3263
SC
363A00000X
Physician Assistant

Other

Enumeration date
04/29/2019
Last updated
09/26/2019
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