Individual
MRS. HEIDI NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
101 N WAYNE ST, ALMA, GA 31510-2540
(912) 287-4863
(912) 287-5875
Mailing address
1101 CHURCH ST, WAYCROSS, GA 31501-3525
(912) 287-4863
(912) 287-5875
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003487
GA
Other
Enumeration date
01/14/2010
Last updated
11/03/2011
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