SearchSouth Carolina106S00000X

Jayden Tanielu

NPI 1225899792 · on the registry since 2024 · sole proprietor

Practice

Address
2144 Sumter St
Columbia, SC 29201
Phone
(803) 497-4303
Clinicians at this address
27

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina