Individual
MS. TAYLOR C DIETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NP-C
Contact information
Practice address
220 GRACES WAY, COLUMBIA, SC 29229-1613
18037364560
Mailing address
220 GRACES WAY, COLUMBIA, SC 29229-1613
18037364560
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
21088
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06170670
AANP CERTIFICATION
—
Enumeration date
07/18/2017
Last updated
06/16/2018
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