Individual
TAYLOR FREDERICK RANDALL VICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WOMACK ARMY MEDICAL CENTER, 2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-5000
(910) 907-8707
Mailing address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(919) 966-2211
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01077405A
IN
207L00000X
Anesthesiology Physician
Primary
2016-01237
NC
Other
Enumeration date
06/23/2011
Last updated
11/06/2025
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