Tyler K Childers, AA | |
701 Grove Rd, Greenville, SC 29605-4210 | |
(864) 455-3076 | |
Not Available |
Full Name | Tyler K Childers |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 701 Grove Rd, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114266632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | TL30 (South Carolina) | Primary |
Entity Name | Concordia Anesthesiology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20150127000437 |
Entity Name | Prisma Health-upstate |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767 |
Mailing Address | Practice Location Address |
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Tyler K Childers, AA 4211 Trolley Line Rd, Aiken, SC 29801-2749 Ph: () - | Tyler K Childers, AA 701 Grove Rd, Greenville, SC 29605-4210 Ph: (864) 455-3076 |
Stephen Chas Goodwin, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Mr. Christopher Robert Brown, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Taylor Douglas Vance, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-3076 Fax: 864-455-4135 | |
Allison Paige Hathaway, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Emily Allan, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Fl 4, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Daniel Ziebko, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 |