MEDICARE: DONALD D TAYLOR M.D.

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	207V00000X	Obstetrics & Gynecology Physician	035340	GA

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

General Provider Information

NPI Number	:	1013940030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD D TAYLOR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 12938
Second Line	:	C/O CLINIC MANAGEMENT
City	:	CALHOUN
State	:	GA
Zip	:	30703-7013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 CURTIS PKWY NE STE 1
Second Line	:
City	:	CALHOUN
State	:	GA
Zip	:	30701-2062
Country	:	US
Telephone Number	:	706-879-5770
Fax Number	:	706-624-4336

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	12/19/2018

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