Organization Name: | TAYLOR REGIONAL HOSPITAL |
NPI Number: | 1720339336 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NIKKI PAULK (COO) |
Mailing Address: | 222 Perry Hwy Bldg A, Ste 101 Hawkinsville |
State: | GA US |
Postal Code: | 310366748 |
Phone Number: | 4787834080 |
Fax Number: | 4787832299 |
NPI Enumeration Date: | 09/21/2012 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |