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Organization
HICKMAN TAYLOR
Active
Organization
HICKMAN TAYLOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LOVICK (OWNER)
(678) 704-6766
Entity
Organization
Contact information
Practice address
5596 BLUEGRASS DR, ATLANTA, GA 30349-2956
(678) 704-6766
(678) 704-6766
Mailing address
5596 BLUEGRASS DR, ATLANTA, GA 30349-2956
(678) 704-6766
(678) 704-6766
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
NULL
171400000X
Health & Wellness Coach
Primary
—
—
174200000X
Meals Provider
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332U00000X
Home Delivered Meals
—
NULL
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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