Individual
JOAN WYNN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
102A S MERRIMAN RD, GEORGETOWN, SC 29440
(843) 833-8113
(843) 833-8108
Mailing address
PO BOX 557, GEORGETOWN, SC 29442-0557
(843) 833-8113
(843) 833-8108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SC12593
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4112
—
SC
Enumeration date
11/21/2005
Last updated
07/12/2018
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