Individual
ALICIA NOEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
2212 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2903
(423) 201-9287
(423) 201-9290
Mailing address
401 PROCTOR BLVD, ONEIDA, TN 37841-3543
(606) 515-9134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2568
TN
Other
Enumeration date
09/01/2014
Last updated
03/08/2017
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