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Organization

JONATHAN P. TAYLOR ,MD APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GWEN K NOCE (MANAGER)
(225) 658-9890
Entity
Organization

Contact information

Practice address
6180 MAIN ST, STE A, ZACHARY, LA 70791-4069
(225) 658-9890
(225) 658-9019
Mailing address
6180 MAIN ST, STE A, ZACHARY, LA 70791-4069
(225) 658-9890
(225) 658-9019

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14334R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1105929
LA
01
1427070432
NPI
LA
Enumeration date
02/07/2007
Last updated
08/22/2020
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