Provider Demographics
NPI:1578069720
Name:BELLAMY, J. TAYLOR (MD)
Entity type:Individual
Prefix:DR
First Name:J.
Middle Name:TAYLOR
Last Name:BELLAMY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4601 PARK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2290
Mailing Address - Country:US
Mailing Address - Phone:704-323-2248
Mailing Address - Fax:
Practice Address - Street 1:180 KIMEL PARK DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6976
Practice Address - Country:US
Practice Address - Phone:336-659-3700
Practice Address - Fax:336-765-6375
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2024-01272207X00000X
MA1013151207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery