Provider Demographics
NPI:1780184366
Name:TAYLOR, ANNE E (AGNP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1295 HOPKINS LN
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:GA
Mailing Address - Zip Code:30525-2405
Mailing Address - Country:US
Mailing Address - Phone:404-786-8720
Mailing Address - Fax:
Practice Address - Street 1:467 W DOYLE ST
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-1791
Practice Address - Country:US
Practice Address - Phone:706-886-4673
Practice Address - Fax:706-381-3100
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN135284363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care