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Individual

MRS. TAYLOR FAITH MARVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1204 N MAIN ST, MARION, VA 24354-4312
(276) 783-2511
Mailing address
16166 RICHARDSON AVE, ABINGDON, VA 24210-8400
(276) 274-0387

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0110008913
VA
363A00000X
Physician Assistant
Primary
0110008913
VA

Other

Enumeration date
12/29/2021
Last updated
02/04/2025
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