Individual
GREGORY G TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3810 WATERSIDE DR, #104, ELIZABETH CITY, NC 27909-9738
(301) 538-5352
(252) 621-1003
Mailing address
3810 WATERSIDE DR, #104, ELIZABETH CITY, NC 27909-9738
(301) 538-5352
(252) 621-1003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
158154
NC
367500000X
Certified Registered Nurse Anesthetist
RO96528
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424601200
—
MD
Enumeration date
06/03/2006
Last updated
09/08/2015
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