Individual
TORIES TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
723 PEACHTREE ST E, DOUGLAS, GA 31533-0531
(912) 327-1247
Mailing address
723 PEACHTREE ST E, DOUGLAS, GA 31533-0531
(912) 327-1247
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO077584
GA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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