Individual
WHITLEY JORDAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 W O EZELL BLVD STE 800, SPARTANBURG, SC 29301-1503
(864) 203-0100
(864) 203-0102
Mailing address
1450 W O EZELL BLVD STE 800, SPARTANBURG, SC 29301-1503
(864) 203-0100
(864) 203-0102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8753
SC
Other
Enumeration date
07/21/2016
Last updated
04/07/2021
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