Benjamin Thomas Taylor, MD
Individual provider Active NPI Family Medicine Physician · Inman, SC
NPI 1083684534 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1083684534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 6861 (SC)
- Practice address
- 12230 Asheville Hwy
Inman, SC 29349-1845 - Phone
- (864) 472-2144
- Fax
- (864) 472-4696
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6861 | SC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6861 | SC | Yes |
Addresses
Primary practice location
12230 Asheville Hwy
Inman, SC 29349-1845
Mailing address
PO Box 2168
Spartanburg, SC 29304-2168
Phone (864) 560-4304
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068615 | Medicaid | SC | |
| 31592 | Other | SC | MEDCOST |
| 4263387 | Other | SC | AETNA |
Other providers in Inman, SC
- Specialized Respiratory Services, LLC
- Cheltsea Staley
- Sterling Chiropractic
- Glenna Nadine Stitt
- Louise W Swindler
- Sharrell Taylor
- The Wellness Place
- Therapy Thoughts & Coaching, LLC
- Thi of South Carolina at Camp Care, LLC
- Thi of South Carolina at Inman, LLC
All providers in Inman, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.