Tyner, Thomas G

Tyner, Thomas G is an individual health care provider with primary practice located at 3000 St Matthews Rd , Orangeburg SC 29118-1442. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Tyner, Thomas G can be contacted via phone (803) 395-2200.

Contact Information

Primary practice address
3000 St Matthews Rd Orangeburg SC 29118-1442
Phone: (803) 395-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3012 South Carolina

Profile Details

NPI number 1720091390
LBN Legal business name Tyner, Thomas G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Apr 28th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720091390 NPPES
South Carolina Other 576008010015 TRICARE
South Carolina Other MM5083 TRICARE
South Carolina MEDICAID AN1516 TRICARE
South Carolina Other 576008010009 TRICARE
South Carolina Other 5S867 TRICARE
South Carolina Other 576008010006 TRICARE
South Carolina Other 000000194021 TRICARE
South Carolina Other 20056087 TRICARE

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