Individual
ROBERT B TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MEDICAL DR, LAGRANGE, GA 30240-4157
(706) 845-3544
(706) 812-2361
Mailing address
111 MEDICAL DR, LAGRANGE, GA 30240-4157
(706) 845-3544
(706) 812-2361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
164985
NC
207RH0000X
Hematology (Internal Medicine) Physician
Primary
73859
GA
207U00000X
Nuclear Medicine Physician
73859
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003161717A
—
GA
Enumeration date
04/14/2010
Last updated
12/31/2015
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