Individual
KARL H TALTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 E KINGS HWY, EDEN, NC 27288-5201
(336) 623-9711
(336) 553-3994
Mailing address
PO BOX 8866, GREENSBORO, NC 27419-0866
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101050956
VA
207L00000X
Anesthesiology Physician
Primary
9401065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031831
ANTHEM
VA
01
—
05821
BCBS
NC
05
—
5702259
—
VA
05
—
6905821
—
NC
Enumeration date
05/01/2006
Last updated
08/27/2012
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