Most Relevant Information
Provider Data
| NPI Number: | 1003444852 |
| Provider Name: | TAYLOR CHANEY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2020 |
| Last Updated: | 06/16/2023 |
Provider Practice Location
169 ASHLEY AVE RM 202
CHARLESTON
SC
294251511
Practice Location Phone/Fax
| Phone: | 3364149042 |
| Fax: |
Provider Mailing Location
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON
SC
29425
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |