Individual
JACK TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 TW ALEXANDER DR, DURHAM, NC 27709-0002
(919) 541-4631
Mailing address
111 TW ALEXANDER DR, DURHAM, NC 27709-0002
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
30868
NC
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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