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Individual

DR. GERALD DALE TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 N EUGENE ST, GREENSBORO, NC 27401-2221
(336) 641-3630
Mailing address
201 N EUGENE ST, GREENSBORO, NC 27401-2221
(336) 641-3630

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
31914
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
31914
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4331717
AETNA
NC
01
81846
BCBS NC
NC
05
8981846
NC
01
97615
MEDCOST
NC
Enumeration date
06/15/2006
Last updated
01/24/2012
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