Individual
MR. CHARLES RAYMOND TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-A
Contact information
Practice address
920 6TH AVE SE, DECATUR, AL 35601-3920
(256) 353-1016
(256) 353-1016
Mailing address
3212 TRAILS END SW, DECATUR, AL 35603-1277
(256) 355-9609
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
35
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51098746NOR
BCBS PROVIDER NUMBER
AL
01
—
51098747NOR
BCBS PROVIDER NUMBER
AL
Enumeration date
10/28/2005
Last updated
07/08/2007
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