Samuel Taylor


Address: 2601 Bemiss Rd, A, Valdosta, GA 31602-1430
Phone: 9122426677

Samuel Taylor (NPI# 1164436788, PAC ID# 1951303262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1164436788
PAC ID by PECOS 1951303262
Professional Enrollment ID I20070215000050
Full Name Samuel Taylor
Address 2601 Bemiss Rd
A
Valdosta
GA 31602-1430
Phone Number 9122426677
Gender M
Credential MD
Medical School MEDICAL COLLEGE OF GEORGIA
Graduation Year 1979
Primary Specialty OBSTETRICS/GYNECOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110122 SOUTH GEORGIA MEDICAL CENTER

Other Locations

Address Phone Organization
2601 Bemiss Rd, A, Valdosta, GA 31602-1430 9122426677

Organization Information

Office Location

Street Address 2601 BEMISS RD
A
City VALDOSTA
State GA
Zip 31602-1430

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Revajo S Broadwater Physical Therapy 3537 N Crossing Circle, Valdosta, GA 31602-1019
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Janice L Breidenstein Clinical Social Worker Valdosta Psychiatric Associates, LLC 3541 N Crossing Circle, Valdosta, GA 31602-1019
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Competitor

Search similar physicians

City VALDOSTA
Zip Code 31602
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty VALDOSTA + OBSTETRICS/GYNECOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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