Individual
MRS. TAYLOR GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 ADA AVE STE 201, CONWAY, AR 72034-4984
(501) 852-1360
(501) 552-5316
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-914
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1157571
NCCPA
—
01
—
PA-914
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
11/29/2021
Last updated
03/20/2026
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