Taylor, Stanley Douglas
Taylor, Stanley Douglas is an individual health care provider with primary practice located at 1201 Country Club Rd , Jacksonville NC 28546-6807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Taylor, Stanley Douglas can be contacted via phone (910) 347-7773.Contact Information
Primary practice address
1201 Country Club Rd
Jacksonville NC 28546-6807
Phone: (910) 347-7773
Fax: (910) 347-7792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 23340 | North Carolina |
Profile Details
| NPI number | 1295893857 |
|---|---|
| LBN Legal business name | Taylor, Stanley Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Sep 27th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295893857 | NPPES |
| North Carolina | MEDICAID | 89131NN | |
| North Carolina | Other | 562095466001 | |
| North Carolina | Other | B6631 | |
| North Carolina | Other | 131NN |
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