Individual
MS. MAURISHA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1240 HIGHWAY 54 W STE 710, FAYETTEVILLE, GA 30214
(770) 991-2800
(770) 997-3827
Mailing address
1240 HIGHWAY 54 W STE 710, FAYETTEVILLE, GA 30214-4565
(770) 991-2800
(770) 997-3827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10847
GA
Other
Enumeration date
09/27/2021
Last updated
03/21/2025
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