person
Dehaven Preston Taylor, LDO
NPI 1194457358

Dehaven Preston Taylor is a Optician based in Moncks Corner, SC and is specialized in Optician. Dehaven Preston Taylor practices in Moncks Corner, SC and has the professional credentials of LDO. The NPI Number for Dehaven Preston Taylor is 1194457358 and holds a License No. 1207 (South Carolina).

The current practice location address for Dehaven Preston Taylor is 511 N Highway 52, Moncks Corner, SC and can be reached out via phone at 843-899-5872 and via fax at 843-899-5875.

Location: 511 N Highway 52, Moncks Corner, SC, 29461-3132
person
Provider Profile Details
NPI Number
1194457358
Provider Name
Dehaven Preston Taylor
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
511 N Highway 52, Moncks Corner, SC, 29461-3132
Phone Number
843-899-5872
Fax Number
843-899-5875
Provider Enumeration Date
06/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
511 N Highway 52
City
State
Zip
29461-3132
Phone Number
843-899-5872
Fax Number
843-899-5875
person
Provider Business Mailing Address Details
Address
511 N Highway 52
City
State
Zip
29461-3132
Phone Number
843-899-5872
Fax Number
843-899-5875
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1207 (South Carolina)
Definition
Definition to come...
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