Organization
DR JOAN WYNN TAYLOR LLC
Active
Other names
Joan Wynn Taylor, M. D. Gen. Med. Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN WYNN TAYLOR M. D. (CHIEF MEDICAL OFFICER)
(843) 216-0080
Entity
Organization
Contact information
Practice address
3070 N HIGHWAY 17, SUITE 200, MT PLEASANT, SC 29466-9300
(843) 216-0080
(843) 216-0082
Mailing address
3070 N HIGHWAY 17, SUITE 200, MT PLEASANT, SC 29466-9300
(843) 216-0080
(843) 216-0082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SC12593
SC
208D00000X
General Practice Physician
Primary
12593
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4112
—
SC
Enumeration date
11/21/2005
Last updated
04/10/2013
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