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Individual

MR. ROBERT GREGORY TAYLOR JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(919) 816-6602
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
210260
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
25237
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PEMDING
SC
Enumeration date
06/08/2011
Last updated
11/16/2021
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