Provider Demographics
NPI:1902865991
Name:TAYLOR, MARK S (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:S
Last Name:TAYLOR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:215 PERRY HILL RD
Mailing Address - Street 2:CAVHCS
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-3725
Mailing Address - Country:US
Mailing Address - Phone:334-272-4670
Mailing Address - Fax:334-273-6203
Practice Address - Street 1:215 PERRY HILL RD
Practice Address - Street 2:CAVHCS
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-3725
Practice Address - Country:US
Practice Address - Phone:334-272-4670
Practice Address - Fax:334-273-6203
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2010-03-29
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Provider Licenses
StateLicense IDTaxonomies
GA048311208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery