Individual
TANA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARRT RT (R)(M)(CT)
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-6702
Mailing address
1500 SHELLFIELD RD APT 722, ENTERPRISE, AL 36330
(334) 494-1400
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
CRT13803
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CRT13803
RADIOLOGIC TECHNOLOGIS
AZ
Enumeration date
05/14/2007
Last updated
12/21/2015
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