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Individual

MR. MARK MAJOR TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
18 ROSE DR, COLUMBIA, SC 29205-4536
(803) 479-5955
Mailing address
18 ROSE DR, COLUMBIA, SC 29205-4536
(803) 479-5955

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
052499-21
NH
163W00000X
Registered Nurse
257660
MA
163W00000X
Registered Nurse
631050
CA
163W00000X
Registered Nurse
Primary
79429
SC
163W00000X
Registered Nurse
RN129654
AZ
163W00000X
Registered Nurse
RN166152
GA

Other

Enumeration date
07/28/2007
Last updated
07/28/2007
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