Individual
MR. KEITH CHANDLER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1706 MAGNOLIA WAY, AUGUSTA, GA 30909
(706) 210-7529
Mailing address
3624 J DEWEY GRAY CIR, SUITE 308, AUGUSTA, GA 30909-6584
(706) 210-7529
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000386
GA
Other
Enumeration date
11/12/2008
Last updated
04/30/2009
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