Organization
TAYLOR REGIONAL HOSPITAL
Active
Other names
Middle GA Pediatrics at Hawkinsville
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI PAULK (COO)
(478) 783-0200
Entity
Organization
Contact information
Practice address
222 PERRY HWY, HAWKINSVILLE, GA 31036-6748
(478) 783-4080
(478) 783-2299
Mailing address
PO BOX 1297, HAWKINSVILLE, GA 31036-7297
(478) 783-0200
(478) 783-2731
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
09/21/2012
Last updated
04/01/2022
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