Taylor, Cullen Andrew

Taylor, Cullen Andrew is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston-Salem NC 27103-3013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Taylor, Cullen Andrew can be contacted via phone (336) 718-5856.

Contact Information

Primary practice address
3333 Silas Creek Pkwy Winston-Salem NC 27103-3013
Fax: (336) 718-9259
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 200300892 North Carolina

Profile Details

NPI number 1700852167
LBN Legal business name Taylor, Cullen Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Sep 2nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700852167 NPPES
North Carolina Other 136UA BCBS
North Carolina MEDICAID 89136UA BCBS

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