Individual
DR. DANIELLE M THOMAS-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 OWEN DRIVE, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-7274
Mailing address
1601 OWEN DRIVE, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-7274
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
228507
NY
2080C0008X
Child Abuse Pediatrics Physician
Primary
2012-00749
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
228507
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02496702
—
NY
Enumeration date
06/05/2006
Last updated
07/24/2012
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