Individual
MARY ANN GILMORE-TAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 PERRY HILL RD, MONTGOMERY, AL 36109
(334) 272-4670
Mailing address
4231 PLUMMER DR, MONTGOMERY, AL 36106-3550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-124178
AL
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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