Individual
ALICE R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1218 ALICE ST, WAYCROSS, GA 31501-4525
(912) 284-9800
(912) 284-1711
Mailing address
1218 ALICE ST, WAYCROSS, GA 31501-4525
(912) 284-9800
(912) 284-1711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0045223
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824339259A
—
GA
Enumeration date
03/10/2006
Last updated
06/08/2010
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