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Individual

BERNARD G TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 367-3014
Mailing address
11 UPPER RIVERDALE RD, SW, RIVERDALE, GA 30274
(770) 897-7107
(770) 897-7109

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
061007
GA
207R00000X
Internal Medicine Physician
M4582
TX
208M00000X
Hospitalist Physician
061007
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183507602
TX
Enumeration date
09/25/2006
Last updated
06/09/2025
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