Individual
GINA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3130 ANDOVER DR, MARIETTA, GA 30066-4531
(228) 424-2223
Mailing address
3130 ANDOVER DR, MARIETTA, GA 30066-4531
(228) 424-2223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN219174
GA
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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