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NPI Code Detail

MEDICARE: IRMA M TAYLOR

MEDICARE:   IRMA M TAYLOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2332B00000XDurable Medical Equipment & Medical Supplies332B00000XNC

General Provider Information

NPI Number : 1164443701
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRMA M TAYLOR
Provider Business Mailing Address
First Line : 207 FOREST HILL AVE
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27105-3515
Country : US
Telephone Number : 336-744-1421
Fax Number : 336-744-1290
Provider Business Practice Location Address
First Line : 207 FOREST HILL AVE
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27105-3515
Country : US
Telephone Number : 336-744-1421
Fax Number : 336-744-1290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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Directions to “ IRMA M TAYLOR ” Practice Location

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