NPI 1003233826

Clifford Taylor

Practitioner Contractor Riverdale, GA

Practice location

Address: 554 Rountree Rd, Riverdale, GA 30274-3445
Phone: (404) 707-7451

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in Georgia →

Registry record

NPI: 1003233826
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2014
Record last updated: 19 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.