Taylor, Beverly D
Taylor, Beverly D is an sole proprietor health care provider with primary practice located at 1513 Cleveland Ave Bldg 500 , East Point GA 30344-6903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Taylor, Beverly D can be contacted via phone (404) 752-1000.Contact Information
Primary practice address
1513 Cleveland Ave Bldg 500
East Point GA 30344-6903
Phone: (404) 752-1000
Fax: (404) 752-1191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 025053 | Georgia |
Profile Details
| NPI number | 1609849843 |
|---|---|
| LBN Legal business name | Taylor, Beverly D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 13th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609849843 | NPPES |
| Georgia | MEDICAID | 00309801B |
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