| Organization Name: | TAYLOR REGIONAL MEDICAL GROUP,LLC |
| NPI Number: | 1174697601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELISSA R CARTER (OFFICE COORDINATOR) |
| Mailing Address: | 1698 Old Lebanon Rd Suite 2b Campbellsville |
| State: | KY US |
| Postal Code: | 427189662 |
| Phone Number: | 2704653568 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 04/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |