Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35.130041 | OH |
NPI | 1003234766 |
---|---|
Provider Name | Dr. Michelle Beth Taylor |
First Address | Dublin, OH 43016-9601 |
Second Address | Dublin, OH 43016-9601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 29/08/2017 |