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Organization

TAYLOR REGIONAL HOSPITAL

Active
Other names
Taylor Physicians Practice # 18
Organization subpart
No

Provider details

NPI number
Authorized official
NIKKI PAULK (COO)
(478) 783-0200
Entity
Organization

Contact information

Practice address
1303 E UNION ST, SUITE 101, VIENNA, GA 31092-7540
(229) 268-1959
(229) 268-8323
Mailing address
PO BOX 1297, HAWKINSVILLE, GA 31036-7297
(478) 783-0200
(478) 783-2731

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
213E00000X
Podiatrist

Other

Enumeration date
09/19/2012
Last updated
10/22/2012
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