| NPI | 1972586394 |
|---|---|
| Doing Business As | JOAN WYNN TAYLOR, M. D. GEN. MED. PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JOAN WYNN TAYLOR Chief Medical Officer 843-216-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 12593) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC SC12593) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2013-04-10 |