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TYSON LEE CLAIBORNE
NPI 1770116568
Student in an Organized Health Care Education/Training Program in North Charleston, SC

Active since February 19, 2020
4501 MIXON AVE APT 107, NORTH CHARLESTON, SC 29405(865) 603-2375 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 10, 2025, Feb 19, 2020 (2 updates tracked since 2020).

About Tyson Lee Claiborne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYSON LEE CLAIBORNE (NPI 1770116568) is an individual student in an organized health care education/training program in North Charleston, South Carolina and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1770116568
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYSON LEE CLAIBORNE
Location Address4501 MIXON AVE APT 107North Charleston, SC 29405-5105
Mailing Address4501 Mixon Ave Apt 107North Charleston, SC 29405-5105 · (865) 603-2375
Phone(865) 603-2375
Sole ProprietorNo
Enumeration DateFebruary 19, 2020
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1770116568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysician AssistantTaxonomy 363A00000X
4501 MIXON AVE APT 107, North Charleston, SC 29405
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Reviews for TYSON LEE CLAIBORNE

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Frequently Asked Questions

What is Tyson Claiborne's NPI number?

The NPI number assigned to this healthcare provider is 1770116568, enumerated as an "individual" on February 19, 2020.

Where is the provider located?

The provider is located at 4501 MIXON AVE APT 107 NORTH CHARLESTON, SC 29405 and the phone number is (865) 603-2375.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.