Individual
BEVERLY D TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1513 CLEVELAND AVE BLDG 500, EAST POINT, GA 30344-6903
(404) 752-1000
(404) 752-1191
Mailing address
720 WESTVIEW DR SW STE 100, ATLANTA, GA 30310-1458
(404) 736-1400
(404) 736-5274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025053
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309801B
—
GA
Enumeration date
02/08/2006
Last updated
05/13/2019
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