Doctor Name: | MRS. SHALU R TAYLOR |
NPI Number: | 1659356038 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP |
License Number: | RN174968 |
Business Practice Address: | 610 Ferncrest Dr Sandersville, GA - 310821863 |
Business Phone Number: | 4785530505 |
Business Fax Number: | 4785530708 |
Mailing Address: | 610 Ferncrest Dr, SANDERSVILLE |
State: | GA |
Postal Code: | 310821863 |
Phone Number: | 4785530505 |
Fax Number: | 4785530708 |
NPI Enumeration Date: | 12/08/2005 |
NPI Last Update Date: | 12/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN174968 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |