Healthcare Provider Details

I. General information

NPI: 1528290111
Provider Name (Legal Business Name): GERIATRIC ANCILLARY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2009
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 SPRING BRANCH DR
DUBLIN GA
31021-0356
US

IV. Provider business mailing address

160 SPRING BRANCH DR
DUBLIN GA
31021-0356
US

V. Phone/Fax

Practice location:
  • Phone: 478-274-8489
  • Fax: 478-274-0269
Mailing address:
  • Phone: 478-274-8489
  • Fax: 478-274-0269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM DENNIS TAYLOR JR.
Title or Position: PHYSICIAN
Credential: MD
Phone: 478-274-8489