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Individual

MARK A. TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 CANDLER DR, SUITE 300, SAVANNAH, GA 31405
(912) 354-6187
(912) 355-0596
Mailing address
5400 SUTLIVE ST, SAVANNAH, GA 31405-4721
(912) 354-6187
(912) 355-9807

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
045130
GA
207RH0003X
Hematology & Oncology Physician
22960
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000942862A
GA
05
000942862C
GA
05
000942862E
GA
01
045130
MEDICAL LICENSE
GA
05
G45130
SC
Enumeration date
07/28/2006
Last updated
07/26/2018
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