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1447214325

NPI Code Detail

MEDICARE: DR. PAULA FLANAGAN TAYLOR MD

MEDICARE: DR. PAULA FLANAGAN TAYLOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	20038	WV
2	207R00000X	Internal Medicine Physician	20036	WV
3	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	20038	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	B441	OTHER	WV	GROUP MEDICARE
4	110239880	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447214325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAULA FLANAGAN TAYLOR MD

Provider Business Mailing Address
First Line	:	205 COOPERHAWK LANE
Second Line	:
City	:	CROSS LANES
State	:	WV
Zip	:	25313-1868
Country	:	US
Telephone Number	:	304-776-6967
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 LAIDLEY ST
Second Line	:	SAINT FRANCIS FIRST HEALTH WELLNESS CENTER
City	:	CHARLESTON
State	:	WV
Zip	:	25301-1614
Country	:	US
Telephone Number	:	681-313-4824
Fax Number	:	681-313-4825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	06/12/2017

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Directions to “ DR. PAULA FLANAGAN TAYLOR MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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