Provider Demographics
NPI:1609526755
Name:PENNY, TAYLOR FINDLEY (DO)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:FINDLEY
Last Name:PENNY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:PAIGE
Other - Last Name:FINDLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:295 MIDLAND PARKWAY
Mailing Address - Street 2:MEDICAL OFFICE BUILDING STE. 140
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485
Mailing Address - Country:US
Mailing Address - Phone:843-998-1222
Mailing Address - Fax:
Practice Address - Street 1:295 MIDLAND PARKWAY
Practice Address - Street 2:MEDICAL OFFICE BUILDING STE 140
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485
Practice Address - Country:US
Practice Address - Phone:843-998-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-23
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL87644390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program