Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 0101249389 | VA |
NPI | 1528243870 |
---|---|
Provider Name | Dr. Richard C. Taylor |
First Address | North Chesterfield, VA 23235-8014 |
Second Address | North Chesterfield, VA 23236-3456 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2008 |
Last Update Date | 01/08/2013 |