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Individual

DONALD PAUL TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4700 WATERS AVE, EMERGENCY DEPARTMENT, SAVANNAH, GA 31404-6220
(912) 350-3849
Mailing address
1 CAISSON XING, SAVANNAH, GA 31411-1302
(912) 434-4662

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101230342
VA
207P00000X
Emergency Medicine Physician
059518
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01062414
AMERIGROUP
GA
01
407212
WELLCARE
GA
01
879220139A
PEACHSTATE HEALTH PLAN
GA
05
879220139A
GA
05
G59518
SC
Enumeration date
07/12/2007
Last updated
05/03/2022
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