Individual
DR. DONALD TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
162 LEGACY OAKS DR, KNIGHTDALE, NC 27545-6556
(919) 373-1810
Mailing address
162 LEGACY OAKS DR STE 101, KNIGHTDALE, NC 27545-6557
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-00625
NC
207Q00000X
Family Medicine Physician
34.011554
OH
207Q00000X
Family Medicine Physician
A-1939-16
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114157
—
OH
01
—
31-0564121
GRANDVIEW HOSPITAL
—
01
—
31-1175717
ALLIANCE PHYSICIANS
OH
Enumeration date
07/25/2012
Last updated
02/19/2021
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