Organization
TAYLOR REGIONAL HOSPITAL
Active
Other names
Taylor Physicians Practice # 16
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI PAULK (COO)
(478) 783-0200
Entity
Organization
Contact information
Practice address
792 1ST AVE, ROCHELLE, GA 31079-2018
(229) 365-7514
(229) 365-7677
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
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
09/07/2012
Last updated
10/22/2012
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