Individual
HOLLY KAY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD.,, SUITE 150, ATLANTA, GA 30342
(404) 252-6104
(404) 257-1808
Mailing address
PO BOX 70547, MARIETTA, GA 30007
(770) 579-1894
(770) 579-1899
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0010-00319
NC
363AS0400X
Surgical Physician Assistant
Primary
005511
GA
363AS0400X
Surgical Physician Assistant
50-001788
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359PA
—
SC
Enumeration date
08/23/2006
Last updated
09/07/2018
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