# TAYLOR REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Taylor Physicians Practice \# 26
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689063505
- **Authorized official:** NIKKI N PAULK (CEO)
- **Authorized official phone:** (478) 783-0200

## Contact information

- **Practice address:** 150 E PEACOCK ST, STE B, COCHRAN, GA 31014-7847
- **Practice address phone:** (478) 934-6926
- **Practice address fax:** (478) 934-8887
- **Mailing address:** 222 PERRY HWY, HAWKINSVILLE, GA 31036-6748
- **Mailing address phone:** (478) 783-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | GA | Yes |

## Other

- **Enumeration date:** 01/15/2015
- **Last updated:** 01/15/2015