Individual
KHADIJAH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
(864) 372-3050
Mailing address
304 SEDGEBROOK DR, SIMPSONVILLE, SC 29681-3543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235454
SC
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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