Taylor, Daryl
Taylor, Daryl is an sole proprietor health care provider with primary practice located at 3421 Mike Padgett Hwy , Augusta GA 30906-3815. He recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as his primary health care specialty. Taylor, Daryl can be contacted via phone (706) 432-7893.Contact Information
Primary practice address
3421 Mike Padgett Hwy
Augusta GA 30906-3815
Phone: (706) 432-7893
Fax: (706) 432-3780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | RN229717 | Georgia |
Profile Details
| NPI number | 1497186118 |
|---|---|
| LBN Legal business name | Taylor, Daryl |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2013 |
| Last updated | Dec 5th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497186118 | NPPES |
| Georgia | MEDICAID | 000606317B |
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