Individual
MICHELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 720-5100
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
060104
GA
207R00000X
Internal Medicine Physician
TP07036
GA
208M00000X
Hospitalist Physician
Primary
060104
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585076459I
—
GA
01
—
TP07036
TEMP LICENSE
GA
Enumeration date
09/28/2007
Last updated
01/07/2022
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