# TAYLOR REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Taylor Physicians Practice \# 25
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902157514
- **Authorized official:** NIKKI PAULK (COO)
- **Authorized official phone:** (478) 783-0200

## Contact information

- **Practice address:** 150 E PEACOCK ST, COCHRAN, GA 31014-7847
- **Practice address phone:** (478) 934-0008
- **Practice address fax:** (478) 934-0500
- **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 |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 10/21/2013