Individual
SAMUEL WAYNE TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 HARGROVE RD E, TUSCALOOSA, AL 35401-3751
(205) 933-2625
(205) 558-2553
Mailing address
2101 HIGHLAND AVE S, SUITE 350, BIRMINGHAM, AL 35205-4022
(205) 933-2625
(205) 558-2553
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
15903
AL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
15903
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009940914
—
AL
Enumeration date
06/30/2006
Last updated
10/18/2019
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