Individual
DR. CAROLYN LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
2010-00681
NC
2080P0202X
Pediatric Cardiology Physician
Primary
34606
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1590K
BCBSNC
NC
05
—
253246800
—
FL
05
—
5916143
—
NC
Enumeration date
06/09/2006
Last updated
10/22/2020
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