Individual
KENNETH WILLIAM TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
3055 HIGHWAY 34 E, NEWNAN, GA 30265-2179
(770) 252-3937
(770) 304-3593
Mailing address
139 SUNSET RIDGE DR, NEWNAN, GA 30263-7705
(678) 463-9664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027473
GA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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