Individual
TAYLOR NEWSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1104 PROFESSIONAL BLVD, DALTON, GA 30720-2588
(706) 226-5533
(706) 529-5858
Mailing address
1104 PROFESSIONAL BLVD, DALTON, GA 30720-2588
(706) 226-5533
(706) 529-5858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10240
GA
Other
Enumeration date
02/09/2021
Last updated
03/03/2021
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