Provider Demographics
NPI:1467461566
Name:TAFT, TIMOTHY NED (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:NED
Last Name:TAFT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3154 BIOINFORMATICS BLDG
Mailing Address - Street 2:CB # 7055 UNC
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-966-3340
Mailing Address - Fax:919-966-6730
Practice Address - Street 1:3154 BIOINFORMATICS BLDG
Practice Address - Street 2:CB # 7055 UNC
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-3340
Practice Address - Fax:919-966-6730
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC18913207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8981415Medicaid
NC210828Medicare PIN