Provider Demographics
NPI:1558429761
Name:TAYLOR, JAMES M JR (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:TAYLOR
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16011 KAIROS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23834-5207
Mailing Address - Country:US
Mailing Address - Phone:804-526-1792
Mailing Address - Fax:804-526-5764
Practice Address - Street 1:16011 KAIROS RD STE 200
Practice Address - Street 2:
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23834-5207
Practice Address - Country:US
Practice Address - Phone:804-526-1792
Practice Address - Fax:804-526-5764
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000225111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA014025OtherANTHEM COLONIAL HEIGHTS
VA015865OtherANTHEM MIDLOTHIAN