Tyler Roberts, PA-C

NPI #1164033353 in Lugoff, South Carolina

Provider Information

NPI Number: 1164033353
Entity Type: Individual
Name: Tyler Roberts, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 12, 2020
Last Updated: May 2, 2023

Practice Location

Address: 15 EXCHANGE DR
City: Lugoff
State: South Carolina
ZIP Code: 29078-9198
Phone: (803) 670-8238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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