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Individual

JAMES L TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-5911
(541) 706-2645
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
065189
GA
207R00000X
Internal Medicine Physician
37868
IA
208M00000X
Hospitalist Physician
65189
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003101436A
GA
05
003101438A
GA
05
003101445A
GA
01
01387925
AMERIGROUP
GA
01
52477131
BCBS
GA
01
579046
WELLCARE
GA
01
9589610
AETNA
GA
01
P00995167
MEDICARE RR
GA
Enumeration date
05/23/2007
Last updated
04/17/2020
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