Miranda Taylor Gaillard, FNP-BC is a
Nurse Practitioner - Family physician based in Clinton, South Carolina. Miranda Taylor Gaillard is licensed to practice in South Carolina (license number 27415) and her current practice location is 129 S Broad St, Clinton, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 373-7246.
NPI number for Miranda Taylor Gaillard is 1093407603 and her current mailing address is 129 S Broad St, Clinton, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093407603.
Physician's Profile
Full Name | Miranda Taylor Gaillard |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 129 S Broad St, Clinton, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093407603
- Provider Enumeration Date: 05/23/2023
- Last Update Date: 06/26/2023
Medical Identifiers
Medical identifiers for Miranda Taylor Gaillard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093407603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2023036845 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 27415 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miranda Taylor Gaillard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miranda Taylor Gaillard, FNP-BC 129 S Broad St, Clinton, SC 29325-2543 Ph: (864) 373-7246 | Miranda Taylor Gaillard, FNP-BC 129 S Broad St, Clinton, SC 29325-2543 Ph: (864) 373-7246 |
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