Individual
MARY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 CENTRE POINTE DR, NORTH CHARLESTON, SC 29418-6927
(843) 740-9191
Mailing address
4920 CENTRE POINTE DR, NORTH CHARLESTON, SC 29418-6927
(843) 740-9191
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1575
SC
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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