Provider Demographics
NPI:1881311298
Name:TAYLOR, CAROLYN ANNETTE
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:ANNETTE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 OLD POND WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-1322
Mailing Address - Country:US
Mailing Address - Phone:803-210-9160
Mailing Address - Fax:
Practice Address - Street 1:14 OLD POND WAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-1322
Practice Address - Country:US
Practice Address - Phone:803-210-9160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health