Individual
ELIZABETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4251 MAIN ST UNIT 9007, LORIS, SC 29569-2611
(843) 620-0900
Mailing address
4251 MAIN ST UNIT 9007, LORIS, SC 29569-2611
(843) 620-0900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
268634
SC
163W00000X
Registered Nurse
844735
NV
163W00000X
Registered Nurse
95270087
CA
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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