Individual
DR. CHARLES ALLEN TAYLOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4899 CLIFFSIDE ST, CATAWBA, NC 28609-8102
(828) 241-1179
Mailing address
4899 CLIFFSIDE ST, CATAWBA, NC 28609-8102
(828) 241-1179
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
256
WV
213E00000X
Podiatrist
888
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099722000
—
WV
01
—
406480239
RAILROAD MEDICARE
—
Enumeration date
04/24/2006
Last updated
08/02/2022
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