Individual provider · Type 1 NPI

Tyler Roberts, PA-C

Physician Assistant · Lugoff, SC

NPI number 1164033353 Active

Practice location

15 Exchange Dr
Lugoff, SC 29078-9198

Other practice locations

  • Private, Louisville, KY 40241 · (502) 322-7192

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X4796 (SC)
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164033353

Tyler Roberts, PA-C's National Provider Identifier is 1164033353, issued on Aug 12, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lugoff, SC. The record was last updated on May 2, 2023.