Organization
TAYLOR REGIONAL HOSPITAL
Active
Other names
Taylor Physicians Practice # 19
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI PAULK (COO)
(478) 783-0200
Entity
Organization
Contact information
Practice address
1303 E UNION ST, SUITE 102, VIENNA, GA 31092-7540
(229) 268-8321
(229) 268-8323
Mailing address
PO BOX 1297, HAWKINSVILLE, GA 31036-7297
(478) 783-0200
(478) 783-2731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
10/22/2012
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