Individual
ANTHONY KEITH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
791 OAK STREET, HAPEVILLE, GA 30354
(404) 601-2000
(404) 559-0257
Mailing address
791 OAK STREET, HAPEVILLE, GA 30354
(404) 601-2000
(404) 559-0257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
04325
GA
363AM0700X
Medical Physician Assistant
Primary
004325
GA
Other
Enumeration date
02/24/2006
Last updated
09/27/2007
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