Taylor, Deborah Jo
Taylor, Deborah Jo is an individual health care provider with primary practice located at 240 Laurelwood Dr , Boiling Springs SC 29316-5929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Taylor, Deborah Jo can be contacted via phone (864) 431-4666.Contact Information
Primary practice address
240 Laurelwood Dr
Boiling Springs SC 29316-5929
Phone: (864) 431-4666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 46535 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2010-01579 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28274 | South Carolina |
Profile Details
| NPI number | 1114946001 |
|---|---|
| LBN Legal business name | Taylor, Deborah Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Feb 11th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114946001 | NPPES |
| South Carolina | Other | 1316155112 | GROUP NPI |
| South Carolina | MEDICAID | GP4950 | GROUP NPI |
| South Carolina | Other | 1992968929 | GROUP NPI |
| South Carolina | MEDICAID | 1114946001 | GROUP NPI |
| South Carolina | MEDICAID | 282740 | GROUP NPI |
| South Carolina | MEDICAID | I51364 | GROUP NPI |
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