Taylor, Martin Joseph

Taylor, Martin Joseph is an individual health care provider with primary practice located at 3651 Wheeler Rd , Augusta GA 30909-6521. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Taylor, Martin Joseph can be contacted via phone (706) 855-9860.

Contact Information

Primary practice address
3651 Wheeler Rd Augusta GA 30909-6521
Phone: (706) 855-9860
Fax: (706) 860-7124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN085928 Georgia

Profile Details

NPI number 1417915646
LBN Legal business name Taylor, Martin Joseph
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 15th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417915646 NPPES
Georgia Other 430077291 RAILROAD MEDICARE
Georgia Other 10065665 RAILROAD MEDICARE
Georgia MEDICAID 000692843G RAILROAD MEDICARE
Georgia MEDICAID GAN366 RAILROAD MEDICARE

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