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NPI Code Detail

MEDICARE: JEREMY B TAYLOR

MEDICARE: JEREMY B TAYLOR
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
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982770012
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY B TAYLOR
Provider Business Mailing Address
First Line : 1273 REMOUNT RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-3439
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1273 REMOUNT RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-3439
Country : US
Telephone Number : 843-566-0627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/08/2007

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Directions to “ JEREMY B TAYLOR ” Practice Location

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