Individual
MR. EARLE M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 FERNCREST DR STE B, SANDERSVILLE, GA 31082-1863
(478) 552-9000
Mailing address
508 W ELM ST, WRIGHTSVILLE, GA 31096-1224
(478) 864-3448
(478) 864-1288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025298
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025298
PROVIDER STATE LICENSE
GA
01
—
111825
UGS-SANDERSVILLE
GA
Enumeration date
05/18/2006
Last updated
03/07/2023
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