Individual
LAURA H TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1336 HIGHWAY 54 W, BLDG 500, FAYETTEVILLE, GA 30214-4535
(770) 461-6142
(770) 461-6271
Mailing address
240 KRIPPLE KREEK DR, SHARPSBURG, GA 30277-1885
(404) 353-7907
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001023
GA
Other
Enumeration date
08/05/2011
Last updated
09/01/2011
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