SearchSouth Carolina183500000X

Tyler Ancona

NPI 1427524529 · on the registry since 2018

Practice

Address
1118 Mack St
Gaston, SC 29053
Phone
(706) 778-4918
Organisation at this address
Gaston Health Associates
Gaston Health Associates Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 138a Amicks Ferry Rd, Chapin, SC
  • 173 Wren Street, Barnwell, SC
  • 19354 Solomon Blatt Ave N, Blackville, SC

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-17

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