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Individual

DR. STANLEY DOUGLAS TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1201 COUNTRY CLUB RD, JACKSONVILLE, NC 28546-6807
(910) 347-7773
(910) 347-7792
Mailing address
504 SANAL COURT, JACKSONVILLE, NC 28540
(910) 347-7773
(910) 347-7792

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23340
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
131NN
BCBS
01
562095466001
TRICARE HUMANA
05
89131NN
NC
01
B6631
MEDCOST
Enumeration date
12/05/2006
Last updated
09/27/2013
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