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NPI Code Detail

MEDICARE: TAYLOR SANDERS SCRUGGS

MEDICARE: TAYLOR SANDERS SCRUGGS
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207LP2900XPain Medicine (Anesthesiology) Physician36420AL

General Provider Information

NPI Number : 1992159578
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR SANDERS SCRUGGS
Provider Business Mailing Address
First Line : 625 19TH STREET SOUTH
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35249
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30762 STATE HIGHWAY 181
Second Line :
City : SPANISH FORT
State : AL
Zip : 36527-5672
Country : US
Telephone Number : 205-934-4696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2016
Last Update Date : 09/16/2021

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Directions to “ TAYLOR SANDERS SCRUGGS ” Practice Location

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