| NPI | 1649720699 |
|---|---|
| Doing Business As | TAYLOR REGIONAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN WALDRON COO Rdinator 270-465-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2024-05-10 |