Individual
DR. GEORGE D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3401 LAKE AVE, FORT WAYNE, IN 46805-5500
(260) 426-3095
(260) 420-2258
Mailing address
3401 LAKE AVE, FORT WAYNE, IN 46805-5500
(260) 426-3095
(260) 420-2258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002045A
IN
Other
Enumeration date
01/20/2006
Last updated
12/05/2007
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