Individual
MS. ANGELA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 527-7000
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 520-8729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56167
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3139302
—
OH
05
—
3810016192
—
WV
Enumeration date
09/18/2009
Last updated
04/20/2026
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