Individual
JERROLD ARNOS TAYLOR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
25 BEN GREENE LN, CHARLESTON, WV 25312-5604
(304) 984-0426
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2752
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
01/10/2022
Last updated
05/31/2024
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