IndividualActive
Shelton Tyler, MOA
NPI 1679419535 · Diplomate Laboratory Management Specialist/Technologist · North Augusta, SC
Provider details
- NPI number
- 1679419535
- Entity type
- Individual
- Primary specialty
- Diplomate Laboratory Management Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- MOA
- Sex
- Male
- Sole proprietor
- No
Practice location
725 E Martintown Rd Ste 6
North Augusta, SC 29841-4239
Phone: (839) 839-5422
Mailing address
725 E Martintown Rd Ste 6
North Augusta, SC 29841-4239
Registry dates
- Enumerated
- 2026-04-24
- Last updated
- 2026-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.