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Organization

TAYLOR INTERNAL MEDICINE OF SELMA, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE EDWARD TAYLOR M.D. (PHYSICIAN)
(334) 874-8800
Entity
Organization

Contact information

Practice address
4258 US HIGHWAY 80 W, SELMA, AL 36701-2202
(334) 874-8800
(334) 874-7700
Mailing address
4258 US HIGHWAY 80 W, SELMA, AL 36701-2202
(334) 874-8800
(334) 874-7700

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24464
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529916810
AL
Enumeration date
10/05/2006
Last updated
01/06/2009
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