Search › South Carolina › 374U00000X
Tyquan Richardson
NPI 1790521771 · on the registry since 2024
Practice
- Address
- 3011 Old Creek Rd
Scranton, SC 29591 - Phone
- (843) 598-6480
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 374U00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-08
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