Individual
DR. GERALD SHANE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1121 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 207-7365
Mailing address
2032 HEARTHWOOD CT, GREENSBORO, NC 27407-5805
(336) 207-7365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
294796
NC
367500000X
Certified Registered Nurse Anesthetist
10009609
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
294796
NC
Other
Enumeration date
03/22/2020
Last updated
08/17/2023
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