Individual
TYLER RAEFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11082 N RADIO STATION RD, SENECA, SC 29678-1142
(864) 882-2314
(864) 882-3677
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94696
SC
207Q00000X
Family Medicine Physician
LL87633
SC
Other
Enumeration date
03/29/2022
Last updated
08/22/2025
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