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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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