Individual
TRACY JEAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
375 SPRING ST, SPARTANBURG, SC 29301-4708
(864) 576-1371
(864) 595-2408
Mailing address
375 SPRING ST, SPARTANBURG, SC 29301-4708
(864) 576-1371
(864) 595-2408
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P34673
SC
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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