Dr George Malcolm Taylor Iv, MD | |
3400 Highway 78 E Ste 316, Jasper, AL 35501-8951 | |
(205) 385-7860 | |
(205) 385-7861 |
Full Name | Dr George Malcolm Taylor Iv |
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Gender | Male |
Speciality | Surgery |
Location | 3400 Highway 78 E Ste 316, Jasper, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932632312 | NPI | - | NPPES |
118830000 | Medicaid | FL | |
YIR0C | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME162266 (Florida) | Secondary |
208600000X | Surgery | 306149 (Louisiana) | Secondary |
208600000X | Surgery | 49111 (Alabama) | Primary |
Entity Name | University Medical Service Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Mailing Address | Practice Location Address |
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Dr George Malcolm Taylor Iv, MD Po Box 11407, Birmingham, AL 35202-1407 Ph: () - | Dr George Malcolm Taylor Iv, MD 3400 Highway 78 E Ste 316, Jasper, AL 35501-8951 Ph: (205) 385-7860 |
Lawrence Vernon Baker, Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Highway 78 E, Med Arts Tower Ste 502, Jasper, AL 35501 Phone: 205-221-4916 Fax: 205-221-4939 | |
Carol Lynn Adams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Airport Rd Ste 2, Jasper, AL 35504 Phone: 205-221-7099 Fax: 205-221-9350 | |
Kyle Andrew Packer, Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Highway 78 E Ste 316, Jasper, AL 35501 Phone: 205-385-7860 Fax: 205-385-7861 | |
John Isaac Baker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Highway 78 E, Medical Arts Tower, Suite 502, Jasper, AL 35501 Phone: 205-221-4916 |