Individual
MARY B. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVENUE SE,, PATHOLOGY DEPARTMENT, CHARLESTON, WV 25304
(304) 388-5550
(304) 388-4352
Mailing address
3200 MACCORKLE SEAVE, CHARLESTON, WV 25304-1227
(304) 388-5550
(304) 388-4352
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
09409
WV
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
09409
WV
Other
Enumeration date
01/26/2007
Last updated
12/22/2015
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