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NPI Code Detail

MEDICARE: DR. CHARLES D. TAYLOR M.D.

MEDICARE: DR. CHARLES D. TAYLOR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician0101037122VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5340001025OTHERRAILROAD MEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14518275OTHERVAAETNA PROVIDER NUMBER
220033OTHERVACARENET/SOUTHERN HEALTH
3180564OTHERVASOUTHERN HEALTH
4082156OTHERVAANTHEM BCBS
6202908OTHERVACIGNA HEALTHCARE
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
82102078OTHERVAMAMSI HEALTHCARE

General Provider Information

NPI Number : 1528066297
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES D. TAYLOR M.D.
Provider Business Mailing Address
First Line : PO BOX 347
Second Line :
City : FARMVILLE
State : VA
Zip : 23901-0347
Country : US
Telephone Number : 434-392-9449
Fax Number : 434-392-5530
Provider Business Practice Location Address
First Line : 800 OAK ST
Second Line :
City : FARMVILLE
State : VA
Zip : 23901-1199
Country : US
Telephone Number : 434-392-9449
Fax Number : 434-392-5530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 01/04/2011

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