Individual
MRS. SONYA POWELL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
4922 ARMOUR RD, COLUMBUS, GA 31904-5233
(706) 323-0077
Mailing address
815 DAN BRINSON RD, LUMPKIN, GA 31815-5211
(706) 570-6188
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO085059
GA
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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