Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyson Lee Claiborne

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770116568

Tyson Lee Claiborne is a Student in an Organized Health Care Education/Training Program in North Charleston, South Carolina. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4501 Mixon Ave Apt 107
North Charleston, SC 29405-5105
Phone: (865) 603-2375
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1770116568
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2020
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address4501 Mixon Ave Apt 107, North Charleston, SC 29405-5105

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