Individual
DR. SCARLET R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1316 N LAKE DR, LEXINGTON, SC 29072-7653
(803) 358-1191
(803) 358-1180
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26914
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269140
—
SC
01
—
AA7584A871
MEDICARE PTAN
SC
01
—
I594992811
MEDICARE GROUP NUMBER
SC
Enumeration date
07/12/2006
Last updated
03/16/2018
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