MEDICARE: DOYLE CHRISTOPHER TAYLOR OTD

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	225X00000X	Occupational Therapist	OT009683	GA

General Provider Information

NPI Number	:	1316812225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOYLE CHRISTOPHER TAYLOR OTD

Provider Business Mailing Address
First Line	:	6298 VETERANS PKWY STE 5B
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-6244
Country	:	US
Telephone Number	:	706-610-2480
Fax Number	:

Provider Business Practice Location Address
First Line	:	6298 VETERANS PKWY STE 5B
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-6244
Country	:	US
Telephone Number	:	706-610-2480
Fax Number	:

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

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	10/09/2025

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