Individual
SAMANTHA TYGR TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-4607
Mailing address
655 E BAY ST APT 212, CHARLESTON, SC 29403-7087
(931) 703-1484
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LL94523
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
06/10/2025
Last updated
06/15/2025
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