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682 5th St, Chipley, FL 32428-1430 | |
(904) 377-1246 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 682 5th St, Chipley, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1174700397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH8725 (Florida) | Primary |
Provider Name | Mark Taylor |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144357526 PECOS PAC ID: 1951476324 Enrollment ID: I20080819000851 |
Mailing Address | Practice Location Address |
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682 5th St, Chipley, FL 32428-1430 Ph: (904) 377-1246 | 682 5th St, Chipley, FL 32428-1430 Ph: (904) 377-1246 |