Individual
TAYLOR LEIGH ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
57 BEAM LN STE 205, FISHERSVILLE, VA 22939-2350
(434) 243-7121
(434) 243-7122
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005768
VA
363A00000X
Physician Assistant
PA9107553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932536489
—
VA
Enumeration date
09/30/2013
Last updated
06/21/2022
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