MEDICARE: JAMES H TAFF JR. PAA AAC

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	363A00000X	Physician Assistant	002452	GA
2	367H00000X	Anesthesiologist Assistant	002452	GA

General Provider Information

NPI Number	:	1891789921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES H TAFF JR. PAA AAC

Provider Business Mailing Address
First Line	:	PO BOX 8417
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31908
Country	:	US
Telephone Number	:	706-324-5482
Fax Number	:	706-596-4293

Provider Business Practice Location Address
First Line	:	2122 MANCHESTER EXPRESSWAY
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904
Country	:	US
Telephone Number	:	800-232-5703
Fax Number	:	334-279-1660

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

Provider Enumeration Date	:	09/05/2005
Last Update Date	:	06/07/2016

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