Taylor, Gerald Dale

Taylor, Gerald Dale is an sole proprietor health care provider with primary practice located at 201 N Eugene St , Greensboro NC 27401-2221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Taylor, Gerald Dale can be contacted via phone (336) 641-3630.

Contact Information

Primary practice address
201 N Eugene St Greensboro NC 27401-2221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 31914 North Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 31914 North Carolina

Profile Details

NPI number 1013951433
LBN Legal business name Taylor, Gerald Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Jan 24th, 2012 - about 14 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 1013951433 NPPES
North Carolina Other 4331717 AETNA
North Carolina MEDICAID 8981846 AETNA
North Carolina Other 97615 AETNA
North Carolina Other 81846 AETNA

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