Organization
TAYLOR REGIONAL HOSPITAL
Active
Other names
Taylor Physicians Practice # 17
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON GREEN (COO)
(478) 783-0200
Entity
Organization
Contact information
Practice address
2809 PINE ST STE 102, UNADILLA, GA 31091-7701
(786) 273-2134
(478) 934-7701
Mailing address
PO BOX 1297, HAWKINSVILLE, GA 31036-7297
(478) 783-0200
(478) 783-2731
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
04/12/2022
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