Taylor, Samuel Wayne

Taylor, Samuel Wayne is an individual health care provider with primary practice located at 500 Hargrove Rd E , Tuscaloosa AL 35401-3751. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Taylor, Samuel Wayne can be contacted via phone (205) 933-2625.

Contact Information

Primary practice address
500 Hargrove Rd E Tuscaloosa AL 35401-3751
Phone: (205) 933-2625
Fax: (205) 558-2553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 15903 Alabama
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 15903 Alabama

Profile Details

NPI number 1568491017
LBN Legal business name Taylor, Samuel Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Oct 18th, 2019 - about 6 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 1568491017 NPPES
Alabama MEDICAID 009940914

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