Organization
COURTHOUSE FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL L TAYLOR M.D. (OWNER/PHYSICIAN)
(804) 423-5050
Entity
Organization
Contact information
Practice address
1108 COURTHOUSE RD, SUITE D, RICHMOND, VA 23236-3197
(804) 423-5050
(804) 423-5048
Mailing address
1108 COURTHOUSE RD, SUITE D, RICHMOND, VA 23236-3197
(804) 423-5050
(804) 423-5048
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
0101045480
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005602131
—
VA
01
—
113086
SOUTHERN HEALTH
VA
01
—
256377
ANTHEM
VA
01
—
4322278
AETNA HEALTHCARE
VA
Enumeration date
06/18/2009
Last updated
10/26/2010
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