Individual
TAYLOR MARIE RAWLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5660
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00729
MS
363AS0400X
Surgical Physician Assistant
Primary
PA00729
MS
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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