Individual
BLAIR TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MEDICAL BLVD, HATTIESBURG, MS 39401-7230
(601) 264-0357
Mailing address
36 THAGARD DR, PETAL, MS 39465-9604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3159
MS
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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