Individual
MR. BENJAMIN THOMAS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12230 ASHEVILLE HWY, INMAN, SC 29349-1845
(864) 472-2144
(864) 472-4696
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6861
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068615
—
SC
01
—
31592
MEDCOST
SC
01
—
4263387
AETNA
SC
Enumeration date
01/26/2006
Last updated
12/04/2007
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