Individual
MR. BRANDON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
187 SHAKER HOLLOW DR, MCDONOUGH, GA 30253-7583
(678) 687-8489
Mailing address
187 SHAKER HOLLOW DR, MCDONOUGH, GA 30253-7583
(678) 687-8489
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
12/11/2019
Last updated
01/29/2020
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