Individual
CAROL C TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3555 WINDSOR CIR NE, CLEVELAND, TN 37312-5153
(423) 883-9918
Mailing address
3555 WINDSOR CIR NE, CLEVELAND, TN 37312-5153
(423) 883-9918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA923
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052538
CERTIFICATION NUMBER
TN
01
—
PA9238
LICENSE
TN
Enumeration date
02/22/2006
Last updated
03/24/2025
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