Individual
TAYLOR TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1200 LOWER FAYETTEVILLE RD STE B, NEWNAN, GA 30265-1133
(678) 631-4610
(678) 631-4611
Mailing address
1200 LOWER FAYETTEVILLE RD STE B, NEWNAN, GA 30265-1133
(678) 631-4610
(678) 631-4611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11961
GA
Other
Enumeration date
04/24/2023
Last updated
10/09/2023
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