Individual
MRS. SUSAN W. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
160 MEDICAL CIRCLE, FIRST FLOOR, WEST COLUMBIA, SC 29169-3656
(803) 796-6811
(803) 796-6851
Mailing address
160 MEDICAL CIRCLE, FIRST FLOOR, WEST COLUMBIA, SC 29169-3656
(803) 796-6811
(803) 796-6851
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
PRV46841
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00038219
RR MEDICARE
SC
Enumeration date
10/04/2006
Last updated
10/22/2007
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