Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 5503G | AL |
NPI | 1013589431 |
---|---|
Provider Name | Georgia Ann Muir-Taylor |
First Address | Birmingham, AL 35206-3454 |
Second Address | Birmingham, AL 35206-3454 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2021 |
Last Update Date | 14/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BZZ103462851 | BLUE CROSS BLUE SHIELD (01) | NC |