Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 035340 | GA |
NPI | 1013940030 |
---|---|
Provider Name | Donald D Taylor |
First Address | Calhoun, GA 30703-7013 |
Second Address | Calhoun, GA 30701-2062 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 19/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000495734C | (05) | GA |