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Individual
SPENCE MCLEAN TAYLOR
Active
Individual
SPENCE MCLEAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
11914
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119142
—
SC
01
—
20045365
RR MEDICARE
SC
01
—
4350935
AETNA ID
SC
01
—
576007863071
BCBS OF SC ID
SC
01
—
9475802
CIGNA ID
SC
Enumeration date
06/06/2006
Last updated
02/15/2018
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