Search › Virginia › 207L00000X
Tyler Ericson
NPI 1316576317 · on the registry since 2020
Practice
- Address
- 1215 Lee St # 800710
Charlottesville, VA 22908 - Phone
- (434) 982-0629
- Fax
- (434) 982-0019
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-07
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 Virginia