Organization
TAILORED ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY G TAYLOR CRNA (CEO)
(301) 538-5352
Entity
Organization
Contact information
Practice address
670 HUNT CLUB DR, COROLLA, NC 27927-9573
(252) 453-3118
(252) 597-1884
Mailing address
670 HUNT CLUB DR, COROLLA, NC 27927-9573
(252) 453-3118
(252) 597-1884
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R096528
MD
Other
Enumeration date
10/28/2008
Last updated
03/25/2014
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