Provider Demographics
NPI:1497919682
Name:TAYLOR HEWITT, EMI DENISE (CAA)
Entity Type:Individual
Prefix:MRS
First Name:EMI
Middle Name:DENISE
Last Name:TAYLOR HEWITT
Suffix:
Gender:F
Credentials:CAA
Other - Prefix:
Other - First Name:EMI
Other - Middle Name:DENISE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAA
Mailing Address - Street 1:2485 HEMBY LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3701
Mailing Address - Country:US
Mailing Address - Phone:888-549-1922
Mailing Address - Fax:
Practice Address - Street 1:1781 METROMEDICAL DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3862
Practice Address - Country:US
Practice Address - Phone:888-549-1922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant