Individual
DR. GEORGE MALCOLM TAYLOR IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 HIGHWAY 78 E STE 316, JASPER, AL 35501-8951
(205) 385-7860
(205) 385-7861
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35202-1407
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
306149
LA
208600000X
Surgery Physician
Primary
49111
AL
208600000X
Surgery Physician
ME162266
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118830000
—
FL
01
—
YIR0C
BCBS
FL
Enumeration date
04/04/2017
Last updated
08/06/2024
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