Individual
CHARLES W TAYLOR III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5965 E BROAD ST, #250, COLUMBUS, OH 43213-1562
(614) 759-5060
(614) 759-5065
Mailing address
5965 E BROAD ST, #250, COLUMBUS, OH 43213-1562
(614) 759-5060
(614) 759-5065
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
35056926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0719244
—
OH
Enumeration date
07/29/2005
Last updated
07/08/2007
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