Provider Demographics
NPI:1275739922
Name:GIVEN, JASON TYLER (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:TYLER
Last Name:GIVEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2450 INDIA HOOK RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3270
Mailing Address - Country:US
Mailing Address - Phone:803-366-7443
Mailing Address - Fax:803-329-1118
Practice Address - Street 1:1393 CELANESE RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1722
Practice Address - Country:US
Practice Address - Phone:803-329-3103
Practice Address - Fax:803-325-2232
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2020-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC29732207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine