Healthcare Provider Details

I. General information

NPI: 1205577418
Provider Name (Legal Business Name): TAYLOR MARIE BYNAROWICZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR MARIE HALL

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 W FARIS RD STE 470
GREENVILLE SC
29605-4281
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 864-455-1600
  • Fax: 864-455-3095
Mailing address:
  • Phone: 864-695-6697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number97576
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number97576
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: