Individual
DR. JARED A TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
409 WESTERN BLVD, SUITE 700, JACKSONVILLE, NC 28546-6528
(910) 219-3937
Mailing address
77 PICKETT WAY, SWANSBORO, NC 28584-8491
(910) 326-0113
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1970
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89093R2
—
NC
Enumeration date
05/03/2006
Last updated
12/27/2010
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