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1376034181
TYLER W JOHNSON
SPARTANBURG, SC
NPI
1376034181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: SC LL82173)
Additional Taxonomies
208600000X Surgery
(Licence: AZ R3027)
Enumeration Date
2018-05-29
Last Update Date
2019-06-11
Business Address
TYLER W JOHNSON DO
101 E WOOD ST
SPARTANBURG, SC 29303
Phone number: 864-560-6750
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Mailing Address
TYLER W JOHNSON DO
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6750
Copy
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