Provider Demographics
NPI:1477990927
Name:DIGGINS, DONNA TAYLOR (LPN)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:TAYLOR
Last Name:DIGGINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 PLATT SPRING ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169
Mailing Address - Country:US
Mailing Address - Phone:803-739-4198
Mailing Address - Fax:803-739-4186
Practice Address - Street 1:2325 PLATT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4425
Practice Address - Country:US
Practice Address - Phone:803-739-4198
Practice Address - Fax:803-739-4186
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLPN.12204P164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse