Individual
MICHAEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
114 SCORPION DR, LELAND, NC 28451-9101
(910) 371-2261
Mailing address
503 OLDE WATERFORD WAY STE 205, LELAND, NC 28451-4148
(910) 399-4039
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-5560
NC
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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