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Individual

MR. ERIC W TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPA, RT(R)

Contact information

Practice address
1301 SUNSET DR, SUITE #3, JOHNSON CITY, TN 37604-7906
(423) 431-6789
(423) 431-5291
Mailing address
1301 SUNSET DR, SUITE #3, JOHNSON CITY, TN 37604-7906
(423) 431-6789
(423) 431-5291

Taxonomy

Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
RA0000000005.
TN

Other

Enumeration date
06/05/2012
Last updated
06/05/2012
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