Individual
TAYLOR NICOLE EFAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 PARKWOOD AVE, CHATTANOOGA, TN 37404
(423) 624-1533
Mailing address
2717 EAST OAKLAND AVENUE, JOHNSON CITY, TN 37601-1843
(423) 926-2358
(423) 926-2680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10105
GA
363A00000X
Physician Assistant
Primary
4334
TN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/15/2020
Last updated
01/10/2024
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