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Individual

DR. MARY BARKER TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
120 CAPCOM AVE, SUITE 104, WAKE FOREST, NC 27587-6530
(919) 570-9097
(919) 570-9094
Mailing address
120 CAPCOM AVENUE, SUITE 104, WAKE FOREST, NC 27587
(919) 570-9097
(919) 570-9094

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3218
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085P7
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/15/2006
Last updated
01/10/2011
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