Individual
TIFFANY RENEE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD,CHES,CLC
Contact information
Practice address
5554 VILLAGE TRCE, UNION CITY, GA 30291-5147
(732) 501-9961
Mailing address
5554 VILLAGE TRCE, UNION CITY, GA 30291-5147
(732) 501-9961
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003157
GA
Other
Enumeration date
05/27/2008
Last updated
01/07/2011
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