Individual
DR. NICKI TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 GORDON AVE, THOMASVILLE, GA 31792-6640
(229) 226-0741
Mailing address
200 GORDON AVE, THOMASVILLE, GA 31792-6640
(229) 226-0741
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003895
GA
Other
Enumeration date
04/29/2015
Last updated
04/05/2016
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