NPI 1114266632

Tyler K Childers, AA

Practitioner Anesthesiologist Assistant Greenville, SC

Practice location

Address: 701 Grove Rd, Greenville, SC 29605-4210
Phone: (864) 455-3076
Mailing address: 4211 Trolley Line Rd, Aiken, SC 29801-2749

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence TL30 (SC)

Other Anesthesiologist Assistant providers in South Carolina →

Registry record

NPI: 1114266632
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2013
Record last updated: 3 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.