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Contact Information

RANDOLPH H TAYLOR
102 THOMAS ROAD
SUITE117
WEST MONROE, LA71291
 Phone: 319-329-8194
 Fax: 318-329-8196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RANDOLPH H TAYLOR · (Male)

NPI # 1902801962
Status Active
Credentials
Entity Individual
Enumeration date 06/16/2005
Last updated 02/11/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 013943
  • LA Medicaid 1330744
  • LA Other H09001 VANTAGE HEALTH PLAN,INC
Hospital affiliation(s)
  • E A CONWAY MEDICAL CENTER - (Acute Care)
    4864 JACKSON STREET
    MONROE, LA 71202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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