Organization
TAYLOR REGIONAL HOSPITAL
Active
Other names
Taylor Physicians Practice # 12
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI PAULK (COO)
(478) 783-0200
Entity
Organization
Contact information
Practice address
145 E PEACOCK ST, SUITE 4, COCHRAN, GA 31014-7846
(478) 934-0776
(478) 934-0779
Mailing address
PO BOX 1297, HAWKINSVILLE, GA 31036-7297
(478) 783-0200
(478) 783-2731
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/07/2012
Last updated
06/04/2013
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