Organization
TAYLOR REGIONAL HOSPITAL
Active
Other names
Taylor Physicians Practice # 15
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON GREEN (COO)
(478) 783-0200
Entity
Organization
Contact information
Practice address
1012 GA HIGHWAY 247 S STE 102, KATHLEEN, GA 31047-2349
(478) 987-1261
(478) 218-0839
Mailing address
PO BOX 1297, HAWKINSVILLE, GA 31036-7297
(478) 783-0200
(478) 783-2731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
03/29/2022
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