Organization
TAYLOR REGIONAL HOSPITAL
Active
Other names
Taylor Physicians Practice # 25
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI PAULK (COO)
(478) 783-0200
Entity
Organization
Contact information
Practice address
150 E PEACOCK ST, COCHRAN, GA 31014-7847
(478) 934-0008
(478) 934-0500
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
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
09/21/2012
Last updated
10/21/2013
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