Individual
SPENCE MCLEAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE C300, GREENVILLE, SC 29615-3593
(864) 454-8272
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
11914
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119142
—
SC
01
—
20045365
RR MEDICARE
SC
01
—
4350935
AETNA ID
SC
01
—
576007863071
BCBS OF SC ID
SC
01
—
9475802
CIGNA ID
SC
Enumeration date
06/06/2006
Last updated
02/15/2018
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