Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 2011-01827 | NC |
N | 207VE0102X | Reproductive Endocrinologist | 56775 | GA |
NPI | 1407889397 |
---|---|
Provider Name | Dr. Robert Neal Taylor |
First Address | Charlotte, NC 28260-2658 |
Second Address | Salt Lake City, UT 84132-3006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 23/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1407889397 | (05) | VA |