DR JOAN WYNN TAYLOR LLC NPI 1972586394

NPI Information

  • NPI: 1972586394
  • Provider Name: DR JOAN WYNN TAYLOR LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: JOAN WYNN TAYLOR, M. D. GEN. MED. PRACTICE
  • Address: 3070 N HIGHWAY 17
    SUITE 200
    MT PLEASANT, SC
    ZIP 29466
  • Phone: (843) 216-0080

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NPI Details

DR JOAN WYNN TAYLOR LLC is a general practice in Mt Pleasant, SC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR JOAN WYNN TAYLOR LLC NPI is 1972586394. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Joan Wynn Taylor, M. D. Gen. Med. Practice.

The provider's business location address is:

3070 N HIGHWAY 17
SUITE 200
MT PLEASANT, SC
ZIP 29466-300
Phone: (843) 216-0080
Fax: (843) 216-0082

The provider's authorized official is Joan Wynn Taylor .
The authorized official title is Chief Medical Officer and has the following contact phone number (843) 216-0080.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 4/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineSC12593SOUTH CAROLINANo
2208D00000XGeneral Practice12593SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP4112MEDICAIDSOUTH CAROLINA
2D054988356MEDICARE UPINSOUTH CAROLINA
3D05498MEDICARE UPINSOUTH CAROLINA
48356MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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