Taylor, Dwayne
Taylor, Dwayne is an individual health care provider with primary practice located at 3708 Northside Dr Bldg B , Macon GA 31210-2404. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Taylor, Dwayne can be contacted via phone (478) 633-6115.Contact Information
Primary practice address
3708 Northside Dr Bldg B
Macon GA 31210-2404
Phone: (478) 633-6115
Fax: (478) 633-1947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN201624 | Georgia |
Profile Details
| NPI number | 1922486539 |
|---|---|
| LBN Legal business name | Taylor, Dwayne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2015 |
| Last updated | Sep 15th, 2020 - 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 | 1922486539 | NPPES |
| Georgia | Other | RN201624 | GA NP LICENSE |
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