Individual provider · Type 1 NPI
Spencer Thomas Taylor
Student in an Organized Health Care Education/Training Program · Leesburg, GA
NPI number
1679125819
Active
Practice location
110 Willard Ct
Leesburg, GA 31763-4584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1679125819
Spencer Thomas Taylor's National Provider Identifier is 1679125819, issued on Jul 9, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Leesburg, GA. The record was last updated on Jul 9, 2019.