Organization Name: | SUMMERS W. TAYLOR, III, MD, PC |
NPI Number: | 1639455280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUMMERS WILSON TAYLOR (MD) |
Mailing Address: | 2525 Us Highway 431 Ste 220 Boaz |
State: | AL US |
Postal Code: | 359575967 |
Phone Number: | 2568404520 |
Fax Number: | 2568404537 |
NPI Enumeration Date: | 10/27/2011 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 13084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |