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Individual

CRYSTAL L TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
303 DARLING AVE, WAYCROSS, GA 31501-5223
(912) 283-1717
(912) 283-7633
Mailing address
303 DARLING AVE, WAYCROSS, GA 31501-5223
(912) 283-1717
(912) 283-7633

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN169794
GA
363LF0000X
Family Nurse Practitioner
Primary
RN169794
GA

Other

Enumeration date
03/09/2012
Last updated
03/17/2020
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