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Individual

SYLVIA JOHANNA TAGGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1220 12TH ST SE, WASHINGTON, DC 20003-3722
(202) 715-6574
(202) 543-5749
Mailing address
141 OCEANGREENS LN, OAK ISLAND, NC 28465-8457

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA030793
DC

Other

Enumeration date
03/21/2012
Last updated
03/21/2012
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