MEDICARE: GERIATRIC ANCILLARY SERVICES INC

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	313M00000X	Nursing Facility/Intermediate Care Facility

General Provider Information

NPI Number	:	1528290111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERIATRIC ANCILLARY SERVICES INC

Provider Business Mailing Address
First Line	:	160 SPRING BRANCH DR
Second Line	:
City	:	DUBLIN
State	:	GA
Zip	:	31021-0356
Country	:	US
Telephone Number	:	478-274-8489
Fax Number	:	478-274-0269

Provider Business Practice Location Address
First Line	:	160 SPRING BRANCH DR
Second Line	:
City	:	DUBLIN
State	:	GA
Zip	:	31021-0356
Country	:	US
Telephone Number	:	478-274-8489
Fax Number	:	478-274-0269

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. WILLIAM DENNIS TAYLOR JR.
Credential	:	MD
Telephone Number	:	478-274-8489

Provider Enumeration Date	:	08/14/2009
Last Update Date	:	03/07/2023

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