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Contact Information

SAMUEL TAYLOR, M.D.
2601 BEMISS RD
SUITE A
VALDOSTA, GA31602-1445
 Phone: 229-242-6677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207VH0002X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SAMUEL TAYLOR, M.D.

NPI Number 1962621995
LBN Legal business name SAMUEL TAYLOR, M.D.
Authorized official SAMUEL TAYLOR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2007
Last updated 08/21/2007 - About 19 years ago
Identifiers
GA License # 22479
GA Medicaid 00261049D
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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