Organization
SAMUEL TAYLOR, M.D.
Active
Other names
Comprehensive Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL TAYLOR M.D. (OWNER)
(229) 242-6677
Entity
Organization
Contact information
Practice address
2601 BEMISS RD, SUITE A, VALDOSTA, GA 31602-1445
(229) 242-6677
Mailing address
PO BOX 2737, VALDOSTA, GA 31604-2737
(229) 242-6677
(229) 242-1870
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
22479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00261049D
—
GA
Enumeration date
04/25/2007
Last updated
08/21/2007
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