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Individual

RICHARD G. TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
890 W FARIS RD, SUITE 510, GREENVILLE, SC 29605-4253
(864) 455-6030
Mailing address
7 INDEPENDENCE PT, SUITE 140, GREENVILLE, SC 29615-4566
(864) 797-6043
(864) 797-6195

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6862
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068624
SC
01
576007863182
BCBS OF SC
SC
01
P00430275
RR MEDICARE
SC
Enumeration date
08/31/2006
Last updated
12/15/2009
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