Individual
GEORGIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3888 COUNTY ROAD 210, WATERLOO, OH 45688-9343
(740) 643-0084
Mailing address
3888 COUNTY ROAD 210, WATERLOO, OH 45688-9343
(740) 302-5666
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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