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Individual
SHELLEY S TAYLOR
Active
Individual
SHELLEY S TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN164955
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
777485253A
—
GA
05
—
777485253B
—
GA
05
—
777485253C
—
GA
05
—
777485253D
—
GA
05
—
777485253E
—
GA
Enumeration date
11/09/2007
Last updated
07/26/2013
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