Individual
CARLITA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED./CCC-SLP
Contact information
Practice address
130 REVERE TURN, FAIRBURN, GA 30213-6081
(770) 964-9813
Mailing address
130 REVERE TURN, FAIRBURN, GA 30213-6081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005287
GA
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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