Individual
DR. HENRY ALVIN TAYLOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
127 MACARTHUR DR, HINESVILLE, GA 31313-4410
(912) 876-8637
(912) 876-4069
Mailing address
127 MACARTHUR DR, HINESVILLE, GA 31313-4410
(912) 876-8637
(912) 867-4069
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD 000649
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10058163
AMERIGROUP
GA
01
—
341274
WELLCARE
GA
05
—
636246997D
—
GA
01
—
6486480001
DMERC
GA
01
—
845505
BLUE CROSS BLUE SHIELD
GA
01
—
P00144440
RAILROAD MEDICARE
GA
Enumeration date
09/21/2006
Last updated
01/11/2022
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