Samuel Taylor, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Saint Marys, GA

NPI

1659440493

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

004815 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-07

Last updated

2008-05-23