Taylor, Alice R
Taylor, Alice R is an individual health care provider with primary practice located at 1218 Alice St , Waycross GA 31501-4525. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Taylor, Alice R can be contacted via phone (912) 284-9800.Contact Information
Primary practice address
1218 Alice St
Waycross GA 31501-4525
Phone: (912) 284-9800
Fax: (912) 284-1711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R0045223 | Georgia |
Profile Details
| NPI number | 1487622825 |
|---|---|
| LBN Legal business name | Taylor, Alice R |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jun 8th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487622825 | NPPES |
| Georgia | MEDICAID | 824339259A |
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