Individual
MS. HEIDI LYNN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
201 E 14TH AVE, CORDELE, GA 31015-1422
(229) 273-4330
Mailing address
702 E 19TH AVE, CORDELE, GA 31015-1748
(229) 287-1583
(229) 273-4347
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH010466
GA
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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