Individual provider · Type 1 NPI

Tyler Martin

Physician Assistant · Charleston, SC

NPI number 1649524455 Active

Practice location

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733

Call (843) 402-1037 Map

Fax (843) 402-1295

Mailing address

PO Box 602645
Charlotte, NC 28260-2645

Other practice locations

  • 8740 Rivers Ave, North Charleston, SC 29406-9211 · (843) 572-5990

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1868 (SC)

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 1649524455

Tyler Martin's National Provider Identifier is 1649524455, issued on Oct 31, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, SC. The record was last updated on Mar 29, 2026.