Smalls, Quentin Tyler

Smalls, Quentin Tyler is an sole proprietor health care provider with primary practice located at 9300 Medical Plaza Dr Ste B , Charleston SC 29406-9334. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Smalls, Quentin Tyler can be contacted via phone (843) 764-1730.

Contact Information

Primary practice address
9300 Medical Plaza Dr Ste B Charleston SC 29406-9334
Phone: (843) 764-1730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3866 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3866 South Carolina

Profile Details

NPI number 1760072375
LBN Legal business name Smalls, Quentin Tyler
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2021
Last updated Mar 10th, 2021 - about 5 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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