Individual
STEPHANIE ANJA TAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
218 E BLACKSTOCK RD, SPARTANBURG, SC 29301-2607
(864) 576-8646
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200400781
NC
207P00000X
Emergency Medicine Physician
35086087
OH
207P00000X
Emergency Medicine Physician
45310
MN
207P00000X
Emergency Medicine Physician
Primary
83711
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003847898
—
NC
01
—
19CU4
BCBS NC
NC
05
—
2546598
—
OH
05
—
34938000
—
WI
05
—
357467000
—
MN
05
—
Q0078W
—
SC
Enumeration date
07/06/2006
Last updated
11/03/2024
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