NPI 1497530497

Kimberla Taylor

Practitioner Prevention Professional Crawford, GA

Practice location

Address: 772 Smokey Rd, Crawford, GA 30630-2338
Phone: (404) 692-9416
Mailing address: 3730 Meeting St, Duluth, GA 30096-3182

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 740785 (GA)

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Registry record

NPI: 1497530497
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2023
Record last updated: 28 Aug 2023

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.