Individual
JERTHITIA S TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 BEMISS RD, SUITE A, VALDOSTA, GA 31602-1445
(229) 242-6677
(229) 242-1870
Mailing address
2601 BEMISS RD, SUITE A, VALDOSTA, GA 31602-1445
(229) 242-6677
(229) 242-1870
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
057852
GA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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