Organization
DAVID K. TAING, M.D., D.C, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARROLL LEAH WIGGINS (PRACTICE ADMINISTRATOR)
(229) 924-2383
Entity
Organization
Contact information
Practice address
922 E JEFFERSON ST, SUITE B, AMERICUS, GA 31709-4780
(229) 924-2383
Mailing address
PO BOX 6815, AMERICUS, GA 31709-6815
(229) 924-2383
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
58226
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555133021A
—
GA
Enumeration date
05/27/2008
Last updated
05/27/2008
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