Individual
TAYLOR NUGENT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC,
Contact information
Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
Mailing address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
ATH.200462
LA
2255A2300X
Athletic Trainer
Primary
LAT4484
NC
Other
Enumeration date
12/08/2015
Last updated
09/14/2022
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