Individual
JEFFREY G. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-2155
(912) 350-2156
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-2155
(912) 350-2156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
034257
GA
207R00000X
Internal Medicine Physician
Primary
ME126747
FL
208M00000X
Hospitalist Physician
034257
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01343099
AMERIGROUP
—
01
—
10071346
AMERIGROUP
GA
05
—
149217887D
—
GA
05
—
149217887E
—
GA
01
—
404218
WELLCARE
GA
05
—
G34257
—
SC
01
—
P00368375
RR MEDICARE
GA
01
—
P00803292
RR MEDICARE
GA
Enumeration date
08/17/2006
Last updated
01/17/2019
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