Laurel Key Taylor

NPI #1124666409 in Fayetteville, Georgia

Provider Information

NPI Number: 1124666409
Entity Type: Individual
Name: Laurel Key Taylor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Mastectomy Fitter
Enumeration Date: Dec 17, 2019
Last Updated: Dec 17, 2019

Practice Location

Address: 285 GLYNN ST S STE 104
City: Fayetteville
State: Georgia
ZIP Code: 30214-2015
Phone: (678) 206-9891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mastectomy Fitter	224900000X	Primary

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