Healthcare Provider Details

I. General information

NPI: 1437236338
Provider Name (Legal Business Name): ONSLOW HEALTH ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 10/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 COUNTRY CLUB ROAD
JACKSONVILLE NC
28546
US

IV. Provider business mailing address

504 SARAH COURT
JACKSONVILLE NC
28540
US

V. Phone/Fax

Practice location:
  • Phone: 910-347-7773
  • Fax: 910-347-7792
Mailing address:
  • Phone: 910-347-7773
  • Fax: 910-347-7792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number23340
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STANLEY DOUGLAS TAYLOR
Title or Position: OWNER
Credential: MD
Phone: 910-340-7773