Individual
KIMBERLA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
772 SMOKEY RD, CRAWFORD, GA 30630-2338
(404) 692-9416
Mailing address
3730 MEETING ST, DULUTH, GA 30096-3182
(404) 692-9416
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
740785
GA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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