NPI 1124666409

Laurel Key Taylor

Practitioner Mastectomy Fitter Fayetteville, GA

Practice location

Address: 285 Glynn St S STE 104, Fayetteville, GA 30214-2015
Phone: (678) 206-9891
Mailing address: 285 Glynn St S, Fayetteville, GA 30214-2015

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Registry record

NPI: 1124666409
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2019
Record last updated: 17 Dec 2019

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.