Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 1435 | OH |
NPI | 1851509731 |
---|---|
Provider Name | Dr. Vicki Suzi Taylor |
First Address | Pickerington, OH 43147-9639 |
Second Address | Pickerington, OH 43147-9639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |