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NPI Code Detail

MEDICARE: EARLY EATING SPECIALISTS

MEDICARE: EARLY EATING SPECIALISTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2692SC

General Provider Information

NPI Number : 1003061870
Entity Type Code : Organization
Provider Name (Legal Business Name) : EARLY EATING SPECIALISTS
Provider Business Mailing Address
First Line : 1916 MAHONE CT
Second Line :
City : DANIEL ISLAND
State : SC
Zip : 29492-7977
Country : US
Telephone Number : 864-205-1410
Fax Number :
Provider Business Practice Location Address
First Line : 1916 MAHONE CT
Second Line :
City : DANIEL ISLAND
State : SC
Zip : 29492-7977
Country : US
Telephone Number : 864-205-1410
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TIFFANY S. TAYLOR
Credential : MS, CCC-SLP, CLC
Telephone Number : 864-205-1410
Provider Enumeration Date : 11/20/2008
Last Update Date : 01/14/2013

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Directions to “EARLY EATING SPECIALISTS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.