Individual
DR. JASMINE PUGH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
265 BOULEVARD NE, ATLANTA, GA 30312
(404) 665-8600
Mailing address
265 BOULEVARD NE, ATLANTA, GA 30312-1208
(404) 665-8600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
16220
MS
2084P0800X
Psychiatry Physician
Primary
72938
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125299
—
MS
01
—
P00001785
PALMETTO GBA-RAILROAD MED
MS
Enumeration date
06/26/2006
Last updated
02/01/2019
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