UPSTATE SURGERY PA
Radiology at Accountants Cir, Seneca, SC

License number
South Carolina 22507
Category
Radiology
Type
Surgery
Owner
Name: BRADFORD A TYLER M.D.
Title: PRESIDENT/OWNER
Phone: (864) 886-9250
Address
Address
16 Accountants Cir, Seneca, SC 29678
National Provider ID: 1437136108
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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UPSTATE SURGERY, PA

16 Accountants Cir, Seneca, SC 29678

Status:
Inactive
Industry:
Osteopathic Physician's Office Medical Doctor's Office
Registration:
Aug 24, 2005
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Expiration:
11/12/2009
Managers:
Tammy L. Palmer (Manager),Bradford A. Tyler (Medical Doctor, Owner, President, Principal),Ann Marie Linn (Cardiology),...
Agent:
Bradford A Tyler Md

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