Individual
JOHN CHADWICK TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8087
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-734
AL
Other
Enumeration date
09/24/2010
Last updated
11/05/2010
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