Healthcare Provider Details

I. General information

NPI: 1023571445
Provider Name (Legal Business Name): TAYLOR POSPISIL STODDARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR MAGUIRE

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2376 CYPRESS CIR STE 200
CONWAY SC
29526-8994
US

IV. Provider business mailing address

300 SINGLETON RIDGE RD ATT PNS CRED
CONWAY SC
29526-9142
US

V. Phone/Fax

Practice location:
  • Phone: 843-347-7216
  • Fax: 843-347-7218
Mailing address:
  • Phone: 843-234-6842
  • Fax: 843-234-6990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number95908
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: