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NPI Code Detail

MEDICARE: DR. MARK S TAYLOR MD

MEDICARE: DR. MARK S TAYLOR MD
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
1208600000XSurgery Physician048311GA

General Provider Information

NPI Number : 1902865991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK S TAYLOR MD
Provider Business Mailing Address
First Line : 215 PERRY HILL RD
Second Line : CAVHCS
City : MONTGOMERY
State : AL
Zip : 36109-3725
Country : US
Telephone Number : 334-272-4670
Fax Number : 334-273-6203
Provider Business Practice Location Address
First Line : 215 PERRY HILL RD
Second Line : CAVHCS
City : MONTGOMERY
State : AL
Zip : 36109-3725
Country : US
Telephone Number : 334-272-4670
Fax Number : 334-273-6203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 03/29/2010

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