Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 8941 | SC |
NPI | 1154389237 |
---|---|
Provider Name | Dr. John H. Paylor III |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29605-4270 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 13/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
089415 | (05) | SC |
8157 | MEDICARE PTAN (01) | SC |
B91636 | (02) | SC |