Individual provider · Type 1 NPI

Tyler Mark Rist, MD

Facial Plastic Surgery Physician · Charleston, SC

NPI number 1356906697 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-9638

Call (843) 792-1414 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000XMD95221 (SC)
Facial Plastic Surgery Physician Primary 207YS0123XMD95221 (SC)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

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About NPI 1356906697

Tyler Mark Rist, MD's National Provider Identifier is 1356906697, issued on May 2, 2019. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Charleston, SC. The record was last updated on Aug 14, 2025.