Individual
HEATHER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
CNIM
Contact information
Practice address
2153 US HIGHWAY 319 S, THOMASVILLE, GA 31792-0650
(904) 868-7117
Mailing address
2153 US HIGHWAY 319 S, THOMASVILLE, GA 31792-0650
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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