Individual
TAYLOR LYNN HEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3905 BROOKSIDE PKWY STE 105, ALPHARETTA, GA 30022-4457
(770) 751-3600
(770) 751-3615
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(404) 303-8035
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
100050
GA
Other
Enumeration date
04/13/2020
Last updated
06/20/2024
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