Individual
GWENDOLYN FLOWERS-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
214 S 12TH ST, GRIFFIN, GA 30224-2812
(470) 204-7956
(866) 217-7073
Mailing address
214 S 12TH ST, GRIFFIN, GA 30224-2812
(470) 204-7956
(866) 217-7073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN193250
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889079225A
—
GA
Enumeration date
12/13/2016
Last updated
12/13/2016
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