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Individual

MICHELLE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5461 MERIDIAN MARK RD, ATLANTA, GA 30342-3007
(404) 255-2033
Mailing address
1550 LAURELHILL DR, LAWRENCEVILLE, GA 30044-7903
(678) 908-2974

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN286938
GA

Other

Enumeration date
11/28/2021
Last updated
11/28/2021
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