Provider Demographics
NPI:1942882113
Name:TAYLOR, YVONNE E (DC)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:E
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104A FRANKLIN AVE # 198
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-6555
Mailing Address - Country:US
Mailing Address - Phone:864-525-7296
Mailing Address - Fax:
Practice Address - Street 1:283 WILLIS RD # 198
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-2546
Practice Address - Country:US
Practice Address - Phone:864-525-7296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor