Individual
MRS. TOMEKA GRATE-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 SUMMIT TERRACE CT, COLUMBIA, SC 29229-7055
(803) 939-6147
(803) 939-6148
Mailing address
425 SUMMIT TERRACE CT STE 1A, COLUMBIA, SC 29229-7056
(803) 939-6147
(803) 939-6148
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
EX1794
SC
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710445499
—
SC
05
—
EX1794
—
SC
Enumeration date
03/12/2019
Last updated
01/20/2022
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