Provider Demographics
NPI:1790724458
Name:TAYLOR, VICTOR SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:SCOTT
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1700 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-3422
Mailing Address - Country:US
Mailing Address - Phone:251-677-6770
Mailing Address - Fax:251-677-6771
Practice Address - Street 1:1700 W 2ND ST
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-3422
Practice Address - Country:US
Practice Address - Phone:251-677-6770
Practice Address - Fax:251-677-6771
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00019421207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051501840Medicaid
ALH05623Medicare UPIN
AL051501840Medicaid