Provider Demographics
NPI:1841201043
Name:TAYLOR, TERRY W (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:W
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:993 JOHNSON FERRY RD
Mailing Address - Street 2:SUITE F 220
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:404-252-5384
Mailing Address - Fax:404-252-5490
Practice Address - Street 1:993 JOHNSON FERRY RD
Practice Address - Street 2:SUITE F 220
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-252-5384
Practice Address - Fax:404-252-5490
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA009274207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D46306Medicare UPIN