| Taylor Physicians Practice # 15 | |
|
1012 Ga Highway 247 S Ste 102 Kathleen GA 31047-2349 | |
| (478) 987-1261 | |
| (478) 218-0839 |
| Full Name | Taylor Physicians Practice # 15 |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1012 Ga Highway 247 S Ste 102, Kathleen, Georgia |
| Authorized Official Name and Position | Jonathon Green (COO) |
| Authorized Official Contact | 4787830200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Physicians Practice # 15 Po Box 1297 Hawkinsville GA 31036-7297 Ph: (478) 783-0200 | Taylor Physicians Practice # 15 1012 Ga Highway 247 S Ste 102 Kathleen GA 31047-2349 Ph: (478) 987-1261 |
| NPI Number | 1144571449 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144571449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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