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Individual

DR. GREGORY CLAY TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1769 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-9019
(770) 474-4395
(770) 474-7861
Mailing address
1975 HIGHWAY 54 W, SUITE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
(770) 487-1232

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000640
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000494491D
GA
01
202I489461
MEDICARE PTAN
GA
Enumeration date
08/10/2005
Last updated
12/09/2015
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