Individual
TAYLOR HUCKABEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5115 OLEANDER DR, WILMINGTON, NC 28403-7018
(910) 362-1011
(910) 362-1012
Mailing address
5115 OLEANDER DR, WILMINGTON, NC 28403-7018
(910) 362-1011
(910) 362-1012
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-04849
NC
Other
Enumeration date
02/20/2014
Last updated
10/26/2016
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