Provider Demographics
NPI:1619607710
Name:TAYLOR, SAVANNAH RAE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SAVANNAH
Middle Name:RAE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:512 N COLLEGE ST # T2403
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-3479
Mailing Address - Country:US
Mailing Address - Phone:973-668-6293
Mailing Address - Fax:
Practice Address - Street 1:136 E 36TH ST STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-2018
Practice Address - Country:US
Practice Address - Phone:704-801-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2024-08-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant