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Individual

DR. FOLAKE OLUMAYOWA TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3921 SHALLOWFORD RD, MARIETTA, GA 30062-5013
(770) 649-0049
(770) 649-9092
Mailing address
3921 SHALLOWFORD RD, MARIETTA, GA 30062-5013
(770) 649-0049
(770) 649-9092

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
058360
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
058360
MEDICAL LICENSE
GA
05
384386095A
GA
05
384386095B
GA
05
384386095C
GA
Enumeration date
02/09/2007
Last updated
12/28/2013
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