Individual
KEITH A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 PLEASANT POINT DR, BEAUFORT, SC 29907-1164
(843) 757-1173
Mailing address
PO BOX 84068, LEXINGTON, SC 29073-0002
(803) 699-9073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30277
SC
207R00000X
Internal Medicine Physician
MD424158
PA
208000000X
Pediatrics Physician
30277
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400685
—
SC
Enumeration date
11/09/2006
Last updated
05/09/2013
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