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Contact Information

MIKE O TYLER JR, MD,
9565 HIGHWAY 78 BLDG 100
LADSON, SC29456-4118
 Phone: 843-553-7615
 Fax: 843-553-1008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MIKE O TYLER JR · (Male)

NPI Number 1750348371
Status Active
Credentials MD,
Entity Individual
Enumeration date 04/27/2006
Last updated 07/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 8587
  • SC Medicaid 085874
Hospital affiliation(s)
  • COLLETON MEDICAL CENTER - (Acute Care)
    501 ROBERTSON BOULEVARD
    WALTERBORO, SC 29488
  • TRIDENT MEDICAL CENTER - (Acute Care)
    9330 MEDICAL PLAZA DR
    CHARLESTON, SC 29406
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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