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NPI Code Detail

MEDICARE: JAMES TAYLOR GROVES

MEDICARE: JAMES TAYLOR GROVES
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
1101YP2500XProfessional CounselorALC04129AL

General Provider Information

NPI Number : 1366211385
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES TAYLOR GROVES
Provider Business Mailing Address
First Line : 605 BELSER CT
Second Line :
City : PIKE ROAD
State : AL
Zip : 36064-2778
Country : US
Telephone Number : 334-451-2602
Fax Number :
Provider Business Practice Location Address
First Line : 6708 TAYLOR CIR
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-3411
Country : US
Telephone Number : 36-933-4356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2024
Last Update Date : 01/02/2024

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Directions to “ JAMES TAYLOR GROVES ” Practice Location

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