Organization
JOHN L. TAYLOR, JR., M.D., PA
Active
Parent organization
JOHN L. TAYLOR, JR., M.D., PA
Other names
Plantation Gynecology
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN L. TAYLOR, JR., M.D., PA
Authorized official
CHERYL R SUMNER (OFFICE MANAGER)
(229) 225-9929
Entity
Organization
Contact information
Practice address
814 GORDON AVENUE, THOMASVILLE, GA 31792
(229) 225-9805
(229) 225-9915
Mailing address
814 GORDON AVENUE, THOMASVILLE, GA 31792
(229) 225-9805
(229) 225-9915
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
015693
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000269882B
—
GA
01
—
21168656803
GREAT WEST HEALTHCARE
GA
01
—
257723363
CHAMPUS/TRICARE
GA
01
—
656597
UNITED HEALTHCARE
GA
01
—
672327
BCBS
GA
01
—
9624285
SOUTHCARE
GA
Enumeration date
05/27/2006
Last updated
08/25/2009
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