Healthcare Provider Details
I. General information
NPI: 1326203670
Provider Name (Legal Business Name): MARGARET ELIZABETH TAYLOR D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/25/2008
Last Update Date: 02/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4260 ANDERTON AVE
CHINCOTEAGUE ISLAND VA
23336-2552
US
IV. Provider business mailing address
801 EASTERN SHORE DR
SALISBURY MD
21804-5934
US
V. Phone/Fax
- Phone: 757-336-1313
- Fax:
- Phone: 410-548-2225
- Fax: 410-548-9542
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 0104555783 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: