Individual
DR. NIA RENEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1135 HIGHWAY 85 N STE A, FAYETTEVILLE, GA 30214-2085
(770) 282-2160
Mailing address
2833 LAKE PARK DR, JONESBORO, GA 30236-4133
(205) 790-2151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122822
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/21/2022
Last updated
07/27/2022
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