Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2014-01976 | NC |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2014-01976 | NC |
NPI | 1093989030 |
---|---|
Provider Name | Dr. Gregory Tayrose |
First Address | Morrisville, NC 27560-8442 |
Second Address | Greensboro, NC 27408-7602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2008 |
Last Update Date | 20/08/2021 |