Provider Demographics
NPI:1134597057
Name:TAYLOR, ZACHARY III (MD)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:TAYLOR
Suffix:III
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 WHITEHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8523
Mailing Address - Country:US
Mailing Address - Phone:706-529-5757
Mailing Address - Fax:706-529-5740
Practice Address - Street 1:1710 WHITEHOUSE CT
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8523
Practice Address - Country:US
Practice Address - Phone:706-529-5757
Practice Address - Fax:706-529-5740
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0747872083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine