Individual
TAYLOR MARIE PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 PARADE FARM LN, CAMERON, SC 29030-8479
(803) 747-5547
Mailing address
54 PARADE FARM LN, CAMERON, SC 29030-8479
(803) 747-5547
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1843
SC
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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