Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 57.250916 | OH |
NPI | 1063093342 |
---|---|
Provider Name | Taylor Elaine Freeman |
First Address | Columbus, OH 43212-3154 |
Second Address | Columbus, OH 43212-3154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2021 |
Last Update Date | 18/04/2021 |