Individual
DR. WALLER L TAYLOR JR.
Active
Individual
DR. WALLER L TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101018250
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065727
ANTHEM
—
01
—
1099195
FIRST HEALTH
—
01
—
6212000
DAVIS VISION
—
01
—
77473
SENTARA
—
05
—
890616R
—
NC
01
—
918190
EYE MED
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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