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Individual

JOHN BRUCE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2310 RANDOLPH RD UNIT B, CHARLOTTE, NC 28207-1526
(704) 650-7156
(855) 695-6439
Mailing address
2310 RANDOLPH RD UNIT B, CHARLOTTE, NC 28207-1526
(704) 650-7156
(855) 695-6439

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
24103
NC
207VG0400X
Gynecology Physician
Primary
24103
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82098
BCBS
NC
Enumeration date
07/10/2006
Last updated
09/08/2020
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