Individual
MRS. TAYLOR MICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
265 SEA ISLAND PKWY, BEAUFORT, SC 29907-1535
(843) 489-3213
Mailing address
265 SEA ISLAND PKWY, BEAUFORT, SC 29907-1535
(843) 489-3213
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1229
SC
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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