Individual
CHARITY MICHELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5300
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
27428
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN3930
—
SC
01
—
Q815503365
MEDICARE PIN
SC
01
—
Q815509225
MEDICARE PIN
SC
Enumeration date
06/05/2021
Last updated
03/24/2025
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