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Organization
FLYNN A. TAYLOR, M.D.,P.C.
Active
Organization
FLYNN A. TAYLOR, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLYNN A TAYLOR M.D. (MEDICAL PHYSICIAN)
(337) 463-9890
Entity
Organization
Contact information
Practice address
412 S PINE ST, DERIDDER, LA 70634-4840
(337) 463-9890
(337) 462-9521
Mailing address
412 S PINE ST, DERIDDER, LA 70634-4840
(337) 463-9890
(337) 462-9521
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
014367
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1186384
—
LA
01
—
PENDING
MEDICARE
LA
Enumeration date
06/21/2010
Last updated
06/21/2010
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