Individual
MRS. MARIE L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1075 N FRASER ST, GEORGETOWN, SC 29440
(843) 527-4442
(843) 527-4027
Mailing address
1075 N FRASER ST, GEORGETOWN, SC 29440
(843) 527-4442
(843) 527-4027
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APN144
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
428958
RURAL HEALTH CMS
SC
05
—
GP1371
—
SC
05
—
RHC132
—
SC
Enumeration date
12/05/2005
Last updated
12/21/2011
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