Individual provider · Type 1 NPI

Timothy Blake Taylor

Primary Care Nurse Practitioner · Valdosta, GA

NPI number 1356847743 Active

Practice location

2412 N Oak St
Valdosta, GA 31602-2567

Fax (229) 244-5512

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XRN235794 (GA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1356847743

Timothy Blake Taylor's National Provider Identifier is 1356847743, issued on Apr 4, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Valdosta, GA. The record was last updated on Apr 4, 2018.