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Individual

DR. HENRY JOE TAYLOR IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3057 TRENWEST DR, WINSTON SALEM, NC 27103-3220
(336) 765-0710
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
810
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
810
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2018
Last updated
08/23/2024
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