Organization
RANDOLPH H. TAYLOR, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH H. TAYLOR M.D. (OWNER)
(318) 329-8194
Entity
Organization
Contact information
Practice address
3510 MEDICAL PARK DR, SUITE 3, MONROE, LA 71203-2384
(318) 329-8194
(318) 329-8196
Mailing address
PO BOX 2898, MONROE, LA 71207-2898
(318) 329-8194
(318) 329-8196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
013943
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1330744
—
LA
Enumeration date
02/27/2007
Last updated
08/22/2020
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