Individual
DR. PAULA FLANAGAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 LAIDLEY ST, SAINT FRANCIS FIRST HEALTH WELLNESS CENTER, CHARLESTON, WV 25301-1614
(681) 313-4824
(681) 313-4825
Mailing address
205 COOPERHAWK LANE, CROSS LANES, WV 25313-1868
(304) 776-6967
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20038
WV
207R00000X
Internal Medicine Physician
20036
WV
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
20038
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110239880
RAILROAD MEDICARE
—
05
—
1805986-000
—
WV
05
—
1805986000
—
WV
01
—
3810024049
GROUP MEDICAID
WV
01
—
B441
GROUP MEDICARE
WV
Enumeration date
04/17/2006
Last updated
06/12/2017
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