Taylor, Keith A

Taylor, Keith A is an individual health care provider with primary practice located at 335 Pleasant Point Dr , Beaufort SC 29907-1164. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Taylor, Keith A can be contacted via phone (843) 757-1173.

Contact Information

Primary practice address
335 Pleasant Point Dr Beaufort SC 29907-1164
Phone: (843) 757-1173
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD424158 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30277 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30277 South Carolina

Profile Details

NPI number 1447320189
LBN Legal business name Taylor, Keith A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated May 9th, 2013 - about 11 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 1447320189 NPPES
South Carolina MEDICAID 400685

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