Provider Demographics
NPI:1669436150
Name:TAYLOR, MARGARET H (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:H
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:HOGLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:34 W COLT SQUARE DRIVE, SUITE 3
Mailing Address - Street 2:34 COLT SQUARE DRIVE, SUITE 3
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-2813
Mailing Address - Country:US
Mailing Address - Phone:479-957-1105
Mailing Address - Fax:888-890-1910
Practice Address - Street 1:1794 E. JOYCE BLVD #2
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703
Practice Address - Country:US
Practice Address - Phone:479-957-1105
Practice Address - Fax:866-286-2967
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE4213207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK154959001Medicaid
5M998Medicare ID - Type Unspecified
AK154959001Medicaid