Individual
DR. CHARLES D. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 392-9449
(434) 392-5530
Mailing address
PO BOX 347, FARMVILLE, VA 23901-0347
(434) 392-9449
(434) 392-5530
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101037122
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007533641
—
VA
01
—
082156
ANTHEM BCBS
VA
01
—
180564
SOUTHERN HEALTH
VA
01
—
20033
CARENET/SOUTHERN HEALTH
VA
01
—
202908
CIGNA HEALTHCARE
VA
01
—
2102078
MAMSI HEALTHCARE
VA
01
—
340001025
RAILROAD MEDICARE PIN
—
01
—
4518275
AETNA PROVIDER NUMBER
VA
Enumeration date
07/07/2005
Last updated
01/04/2011
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