Individual
TODD TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
531 ASBURY CIR, HOSPITAL ANNEX-SUITE N340, ATLANTA, GA 30322-1006
(706) 380-1594
Mailing address
750 DARLINGTON CIR NE, ATLANTA, GA 30305-2707
(706) 380-1594
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
202682
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007358
—
LA
01
—
P00962664
RRMCARE THRU PEPA
LA
Enumeration date
08/14/2007
Last updated
10/19/2012
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