Individual
REGINA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1348 MILLVALE CT, LAWRENCEVILLE, GA 30044-6237
(404) 321-6111
Mailing address
1348 MILLVALE CT, LAWRENCEVILLE, GA 30044-6237
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN076270
GA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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