Individual
TAYLOR WHARTON GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92 SPRINGVIEW LN, SUMMERVILLE, SC 29485-8153
(843) 871-4006
Mailing address
92 SPRINGVIEW LN, SUMMERVILLE, SC 29485-8153
(843) 871-4006
(843) 871-4074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29103
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/16/2024
Last updated
09/08/2025
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