Individual
JERRY JUERGEN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1028 LEE ANN DR NE, SUITE 201, CONCORD, NC 28025-2911
(704) 782-1892
Mailing address
1028 LEE ANN DR NE, SUITE 201, CONCORD, NC 28025-2911
(704) 782-1892
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9601746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1014K
BCBS
NC
05
—
891014K
—
NC
05
—
Q01746
—
SC
Enumeration date
05/04/2006
Last updated
03/26/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us