Roberts, Tyler

Roberts, Tyler is an individual health care provider with primary practice located at 15 Exchange Dr , Lugoff SC 29078-9198. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roberts, Tyler can be contacted via phone (803) 670-8238.

Contact Information

Primary practice address
15 Exchange Dr Lugoff SC 29078-9198
Phone: (803) 670-8238
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4796 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1164033353
LBN Legal business name Roberts, Tyler
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2020
Last updated May 2nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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