Individual
SAMUEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
677 CHURCH ST NE # 125, MARIETTA, GA 30060
(770) 793-5913
(770) 999-2445
Mailing address
677 CHURCH ST NE # 125, MARIETTA, GA 30060-1101
(770) 793-5913
(770) 999-2445
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
022479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00261049D
—
GA
Enumeration date
07/28/2006
Last updated
09/26/2019
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