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Individual
MARK A. TAYLOR
Active
Individual
MARK A. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
045130
GA
207RH0003X
Hematology & Oncology Physician
22960
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000942862A
—
GA
05
—
000942862C
—
GA
05
—
000942862E
—
GA
01
—
045130
MEDICAL LICENSE
GA
05
—
G45130
—
SC
Enumeration date
07/28/2006
Last updated
07/26/2018
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