Individual
DR. CHARLES D. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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