| Taylor Physicians Practice # 23 | |
|
136 W Dykes St Cochran GA 31014-6844 | |
| (478) 271-0200 | |
| (478) 934-8887 |
| Full Name | Taylor Physicians Practice # 23 |
|---|---|
| Speciality | Clinic/Center |
| Location | 136 W Dykes St, Cochran, Georgia |
| Authorized Official Name and Position | Jonathon Green (COO) |
| Authorized Official Contact | 4787830200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Physicians Practice # 23 Po Box 1297 Hawkinsville GA 31036-7297 Ph: (478) 783-0200 | Taylor Physicians Practice # 23 136 W Dykes St Cochran GA 31014-6844 Ph: (478) 271-0200 |
| NPI Number | 1639428626 |
|---|---|
| Provider Enumeration Date | 09/05/2012 |
| Last Update Date | 03/29/2022 |
| Medicare PECOS PAC ID | 6800795154 |
|---|---|
| Medicare Enrollment ID | O20200213000970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639428626 | NPI | - | NPPES |
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