Individual
DR. SHANNA LEANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30011
SC
208M00000X
Hospitalist Physician
Primary
30011
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300114
—
SC
05
—
5915765
—
NC
01
—
POO856805
RAILROAD MEDICARE
SC
Enumeration date
06/18/2007
Last updated
05/10/2021
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