Individual
CODY WILLIAM TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1695 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284-7159
(336) 515-5000
Mailing address
530 N PATTERSON AVE UNIT 421, WINSTON SALEM, NC 27101-4281
(302) 535-5749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11408
NC
Other
Enumeration date
09/22/2021
Last updated
04/27/2023
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