MEDICARE: DR. STEPHEN MARK 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	2084P0804X	Child & Adolescent Psychiatry Physician	19819	AL
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	19819	AL
3	2084P0800X	Psychiatry Physician	19819	AL

General Provider Information

NPI Number	:	1447354907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN MARK TAYLOR M.D.

Provider Business Mailing Address
First Line	:	1025 MONTGOMERY HWY
Second Line	:	SUITE 200
City	:	BIRMINGHAM
State	:	AL
Zip	:	35216-2805
Country	:	US
Telephone Number	:	205-978-7511
Fax Number	:	205-978-7277

Provider Business Practice Location Address
First Line	:	1025 MONTGOMERY HWY
Second Line	:	SUITE 200
City	:	BIRMINGHAM
State	:	AL
Zip	:	35216-2805
Country	:	US
Telephone Number	:	205-978-7511
Fax Number	:	205-978-7277

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	02/08/2024

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