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Organization

TAYLOR REGIONAL HOSPITAL

Active
Other names
Taylor Physicians Practice # 26
Organization subpart
No

Provider details

NPI number
Authorized official
NIKKI N PAULK (CEO)
(478) 783-0200
Entity
Organization

Contact information

Practice address
150 E PEACOCK ST, STE B, COCHRAN, GA 31014-7847
(478) 934-6926
(478) 934-8887
Mailing address
222 PERRY HWY, HAWKINSVILLE, GA 31036-6748
(478) 783-0200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GA

Other

Enumeration date
01/15/2015
Last updated
01/15/2015
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