Individual
MR. TAYLOR KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
730 HAWTHORNE LN APT 443, CHARLOTTE, NC 28204-2182
(704) 699-0596
Mailing address
730 HAWTHORNE LN APT 443, CHARLOTTE, NC 28204-2182
(704) 699-0596
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-06584
NC
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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