Taylor Telfair Regional Hosp-Physician Office

NPI #1417076266 in Mcrae, Georgia

Provider Information

NPI Number: 1417076266
Entity Type: Organization
Organization Name: Taylor Telfair Regional Hosp-Physician Office
Primary Specialty: Specialist
Enumeration Date: Mar 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 903 WILLOW CREEK LANE
Address 2: PHYSICIANS OFFICE
City: Mcrae
State: Georgia
ZIP Code: 31055-0150
Phone: (229) 868-5271

Authorized Official

Name: MRS. ANGIE HARRIS
Title: BUSINESS MANAGER
Phone: (229) 868-4147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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