Individual
CLIFFORD TAYLOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
554 ROUNTREE RD, RIVERDALE, GA 30274-3445
(404) 707-7451
Mailing address
554 ROUNTREE RD, RIVERDALE, GA 30274-3445
(404) 707-7451
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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