# TAYLOR REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Taylor Physicians Practice \# 2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104177419
- **Authorized official:** JONATHON GREEN (COO)
- **Authorized official phone:** (478) 783-0200

## Contact information

- **Practice address:** 222 PERRY HWY BLDG A, HAWKINSVILLE, GA 31036-6748
- **Practice address phone:** (478) 783-4030
- **Practice address fax:** (478) 892-8048
- **Mailing address:** PO BOX 1297, HAWKINSVILLE, GA 31036-7297
- **Mailing address phone:** (478) 783-0200
- **Mailing address fax:** (478) 783-2731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2012
- **Last updated:** 06/03/2024