Individual
ALLIE B TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-7101
(336) 846-0758
Mailing address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-7101
(336) 846-0758
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103559
NC
Other
Enumeration date
10/12/2006
Last updated
07/11/2007
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