Taylor, Tyra L

Taylor, Tyra L is an individual health care provider with primary practice located at 2 Maple Tree Ct Bon Secours Ob-Gyn, Greenville SC 29615-4068. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Taylor, Tyra L can be contacted via phone (864) 516-1190.

Contact Information

Primary practice address
2 Maple Tree Ct Bon Secours Ob-Gyn Greenville SC 29615-4068
Fax: (864) 516-1191
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 19181 South Carolina

Profile Details

NPI number 1174920847
LBN Legal business name Taylor, Tyra L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2014
Last updated Jul 21st, 2022 - about 2 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 1174920847 NPPES
South Carolina MEDICAID NP3008

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