NPI 1003166851

Taylor Regional Hospital

Organisation Pediatrics Physician Vienna, GA

Practice location

Address: 1303 E Union St Suite 101, Vienna, GA 31092-7540
Phone: (229) 268-1959
Fax: (229) 268-8323
Mailing address: PO Box 1297, Hawkinsville, GA 31036-7297

Authorised official

Name: Nikki Paulk
Title: Coo
Phone: (478) 783-0200

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Georgia →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Georgia →

Registry record

NPI: 1003166851
Entity type: Organization
NPI issued: 19 Sep 2012
Record last updated: 22 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.