Individual
AMANDA T TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
507 N LINDSAY ST, HIGH POINT, NC 27262-4303
(336) 883-0029
(336) 883-0867
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
(336) 883-0867
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
103837
NC
363A00000X
Physician Assistant
103837
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10387
LICENSE
NC
Enumeration date
08/29/2006
Last updated
08/21/2023
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