Individual
CARTER DAVID TAYSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0006
(706) 721-0211
Mailing address
5150 SADDLE CIR, EVANS, GA 30809-4892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18134
GA
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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