Lee B Taylor JR.
Family Doctor
3021 Reidville Rd
Spartanburg
, South Carolina 29301-5643
Lee B Taylor JR.
Family Doctor
3021 Reidville Rd
Spartanburg
, South Carolina 29301-5643
(864) 576-6584
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Lee B Taylor JR.
- 3021 Reidville Rd
- Spartanburg, SC
- Zip : 29301-5643
- Fax : (864) 576-6584
- Phone : (864) 576-9201
Second Address
- Lee B Taylor JR.
- 3021 Reidville Rd
- Spartanburg, SC
- Zip : 29301-5643
- Fax : (864) 576-6584
- Phone : (864) 576-9201
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 9525 | SC |
National Provider Identifier
| NPI | 1003863929 |
|---|---|
| Provider Name | Lee B Taylor JR. |
| First Address | Spartanburg, SC 29301-5643 |
| Second Address | Spartanburg, SC 29301-5643 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2006 |
| Last Update Date | 14/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 095257 | (05) | SC |
| D90714 | (02) | |
| GP4988 | MEDICAID GROUP NO. (01) | SC |
| P00386821 | MEDICARE RAILROAD PTAN# (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.