Tyler Marie Smith, PA-C
Physician Assistant in Charleston, SC. Individual provider (NPI-1).
NPI number1013772649
StatusActive
Last updated in NPPESFeb 20, 2026
Details
- NPI
- 1013772649
- Entity type
- Individual (NPI-1)
- Name
- Tyler Marie Smith
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2024
- Certification date
- Feb 20, 2026
- Last updated
- Feb 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 6040 | SC | Yes |
Practice location
96 Jonathan Lucas StCharleston, SC 29425-8900
Phone 404-277-6303
Mailing address
96 Jonathan Lucas StCsb 816; Msc 630
Charleston, SC 29425-8900
Phone 404-277-6303
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