Individual
DR. SUMMERS WILSON TAYLOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2505 US HWY. 431, WOMEN'S CENTER, SUITE A, BOAZ, AL 35957-5967
(256) 840-4530
(256) 840-4537
Mailing address
2505 US HWY. 431, WOMEN'S CENTER, SUITE A, BOAZ, AL 35957-5967
(256) 840-4530
(256) 840-4537
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13084
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009967600
—
AL
01
—
51504213
BLUE CROSS BLUE SHIELD OF
AL
Enumeration date
06/06/2006
Last updated
04/16/2019
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