Taylor, Robert B

Taylor, Robert B is an individual health care provider with primary practice located at 111 Medical Dr , Lagrange GA 30240-4157. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Taylor, Robert B can be contacted via phone (706) 845-3544.

Contact Information

Primary practice address
111 Medical Dr Lagrange GA 30240-4157
Phone: (706) 845-3544
Fax: (706) 812-2361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 164985 North Carolina
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 73859 Georgia
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 73859 Georgia

Profile Details

NPI number 1992021083
LBN Legal business name Taylor, Robert B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2010
Last updated Dec 31st, 2015 - about 10 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 1992021083 NPPES
Georgia MEDICAID 003161717A

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