Organization
CECILLE TAYLOR MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILLE GLYNIS TAYLOR MD (PRESIDENT)
(916) 983-4550
Entity
Organization
Contact information
Practice address
1615 CREEKSIDE DR, SUITE 110, FOLSOM, CA 95630-3491
(916) 983-4550
(916) 983-8569
Mailing address
1615 CREEKSIDE DR, SUITE 110, FOLSOM, CA 95630-3491
(916) 983-4550
(916) 983-8569
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G067853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336176312
GROUP
CA
Enumeration date
10/22/2008
Last updated
02/03/2010
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