Individual
DUNCAN TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1594 FREEDOM BLVD, STE 202, FLORENCE, SC 29505-6046
(843) 664-9696
Mailing address
1594 FREEDOM BLVD, STE 202, FLORENCE, SC 29505-6046
(843) 664-9696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9434
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080144136
RAILROAD MEDICARE
SC
05
—
094347
—
SC
01
—
6341
MEDICARE GROUP
SC
Enumeration date
04/28/2006
Last updated
10/18/2007
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