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NPI Code Detail

MEDICARE: TAYLOR PFLUG

MEDICARE: TAYLOR PFLUG
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
1225100000XPhysical Therapist12555SC

General Provider Information

NPI Number : 1871328385
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR PFLUG
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-702-4389
Fax Number :
Provider Business Practice Location Address
First Line : 3032 W MONTAGUE AVE STE 101
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29418-7921
Country : US
Telephone Number : 843-885-8772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2024
Last Update Date : 09/04/2024

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Directions to “ TAYLOR PFLUG ” Practice Location

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