Individual
STEVEN K. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3850 WINDERMERE PKWY STE 105, CUMMING, GA 30041-7033
(678) 455-2800
(770) 888-9998
Mailing address
3850 WINDERMERE PKWY STE 105, CUMMING, GA 30041-7033
(678) 455-2800
(770) 888-9998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
92842
GA
207R00000X
Internal Medicine Physician
Primary
92842
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000185268
UNISON MEDICAID
OH
01
—
000000343883
ANTHEM BCBS
—
01
—
001714162
MOUNTAIN STATE BCBS
—
01
—
2509744
MOLINA MEDICAID
OH
01
—
310917085079
OH MEDICAID CARESOURCE
—
05
—
3810000767
—
WV
01
—
P00158638
RR MEDICARE
—
Enumeration date
06/16/2006
Last updated
06/05/2024
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