Individual
RICHARD EDWARD TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1080 LLOYD STEWART RD, BROADWAY, NC 27505-9089
(919) 343-8836
Mailing address
1080 LLOYD STEWART RD, BROADWAY, NC 27505-9089
(919) 343-8836
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
33376652
NC
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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