Individual
TYRA LYNN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 FURMAN L FENDLEY HWY STE C, UNION, SC 29379-7419
(864) 427-8380
(864) 427-8308
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
19181
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3008
—
SC
Enumeration date
11/24/2014
Last updated
06/03/2025
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