Healthcare Provider Details

I. General information

NPI: 1912931213
Provider Name (Legal Business Name): TARA LEIGH TAYLOR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2386 SPRINGS RD NE
HICKORY NC
28601-3066
US

IV. Provider business mailing address

2386 SPRINGS RD NE
HICKORY NC
28601-3066
US

V. Phone/Fax

Practice location:
  • Phone: 828-732-5400
  • Fax:
Mailing address:
  • Phone: 828-732-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number5009975
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number5009975
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: