MEDICARE: ANALYN T TALIP M.D.

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	200400992	NC
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	81939	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00183794	OTHER	NC	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	137MY	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1831196260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANALYN T TALIP M.D.

Provider Business Mailing Address
First Line	:	PO BOX 6069
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29171-6069
Country	:	US
Telephone Number	:	704-316-6360
Fax Number	:	704-316-6361

Provider Business Practice Location Address
First Line	:	132 SUNSET CT
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-2429
Country	:	US
Telephone Number	:	803-936-7450
Fax Number	:	803-936-7452

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	11/11/2020

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