Individual
DR. THOMAS K TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 ASTAIRE MNR, FAYETTEVILLE, GA 30214-5362
(404) 661-8858
Mailing address
125 ASTAIRE MNR, FAYETTEVILLE, GA 30214-5362
(404) 661-8858
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME72088
FL
207VX0000X
Obstetrics Physician
033121
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003668200
—
FL
Enumeration date
10/25/2005
Last updated
03/21/2017
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