Individual
DR. JAMES DAVID TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1241 WOODLAND AVENUE, MOUNT PLEASANT, SC 29464
(843) 824-0606
(843) 824-0909
Mailing address
1241 WOODLAND AVENUE, MOUNT PLEASANT, SC 29464
(843) 824-0606
(843) 824-0909
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
9737
SC
2085R0202X
Diagnostic Radiology Physician
Primary
9737
SC
2085U0001X
Diagnostic Ultrasound Physician
9737
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1709
MEDICARE GROUP
SC
01
—
300129069
MEDICARE RR
—
01
—
8683
MEDICARE GROUP
SC
05
—
TL9611
—
SC
Enumeration date
08/17/2006
Last updated
07/25/2008
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