Carol H Taylor | |
1400 Buford Hwy Ste G7 Sugar Hill GA 30518 | |
(229) 251-2391 | |
(678) 228-1977 |
Full Name | Carol H Taylor |
---|---|
Speciality | Social Worker |
Location | 1400 Buford Hwy Ste G7, Sugar Hill, Georgia |
Authorized Official Name and Position | Carol H Taylor (OWNER) |
Authorized Official Contact | 2292512391 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carol H Taylor 1400 Buford Hwy Ste G7 Sugar Hill GA 30518 Ph: (229) 251-2391 | Carol H Taylor 1400 Buford Hwy Ste G7 Sugar Hill GA 30518 Ph: (229) 251-2391 |
NPI Number | 1629581228 |
---|---|
Provider Enumeration Date | 11/06/2017 |
Last Update Date | 12/13/2019 |
Certification Date | 12/13/2019 |
Medicare PECOS PAC ID | 6204269939 |
---|---|
Medicare Enrollment ID | O20191210002359 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629581228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW003909 (Georgia) | Primary |
Provider Name | Carol Taylor |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699019703 PECOS PAC ID: 6103058722 Enrollment ID: I20140415000293 |
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