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Organization

SUMMERS W. TAYLOR, III, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUMMERS WILSON TAYLOR III M.D. (MD)
(256) 840-4530
Entity
Organization

Contact information

Practice address
2505 US HIGHWAY 431, WOMEN'S CENTER, SUITE A, BOAZ, AL 35957-5908
(256) 840-4430
(256) 840-4537
Mailing address
2505 US HIGHWAY 431, WOMEN'S CENTER, SUITE A, BOAZ, AL 35957-5908
(256) 840-4430
(256) 840-4537

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
13084
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009967600
AL
01
51504213
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/27/2011
Last updated
04/16/2019
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