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Mr. Larry Lee Taylor JR., NP
Family Nurse Practitioner in Tifton, Georgia
NPI 1225665946

Larry Lee Taylor JR. is a Family Nurse Practitioner based in Ashburn, GA and is specialized in Family. Larry Lee Taylor JR. practices in Tifton, GA and has the professional credentials of NP. The NPI Number for Larry Lee Taylor JR. is 1225665946 and holds a License No. RN214375 (Georgia).

The current practice location address for Larry Lee Taylor JR. is 1805 Tift Ave N Ste D, Tifton, GA and can be reached out via phone at 555-422-9382.

Location: 1805 Tift Ave N Ste D, Tifton, GA, 31714-3445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225665946
Provider Name
Larry Lee Taylor JR.
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1805 Tift Ave N Ste D, Tifton, GA, 31714-3445
Phone Number
555-422-9382
Fax Number
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1805 Tift Ave N Ste D
City
Tifton
State
Georgia
Zip
31794-3579
Phone Number
555-422-9382
Fax Number
person
Provider Business Mailing Address Details
Address
1805 Tift Ave N Ste D
City
Tifton
State
Georgia
Zip
31794-3579
Phone Number
555-422-9382
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN214375 (Georgia)
Definition
Definition to come...
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