Individual
TIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 MORGAN RD, HEPHZIBAH, GA 30815-6293
(216) 647-4193
Mailing address
3501 MORGAN RD, HEPHZIBAH, GA 30815-6293
(216) 647-4193
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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