Individual
DWIGHT L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1720 UNIVERSITY BLVD, ANESTHESIA DEPT., BIRMINGHAM, AL 35233-1816
(205) 325-8500
(205) 325-8809
Mailing address
PO BOX 660685, BIRMINGHAM, AL 35266-0685
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-020897
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51074922
BCBS OF AL
AL
Enumeration date
08/09/2007
Last updated
08/09/2007
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