Individual
TAYLOR ANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
453 WATERBURY CT, GAHANNA, OH 43230-5309
(614) 515-5244
Mailing address
453 WATERBURY CT, GAHANNA, OH 43230-5309
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.005932RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159426
NCCPA
OH
Enumeration date
06/09/2019
Last updated
06/09/2019
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