Provider Demographics
NPI:1184413437
Name:TAYLOR, DALISHA
Entity type:Individual
Prefix:
First Name:DALISHA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1994 BENT CREEK WAY SW APT D302
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-3891
Mailing Address - Country:US
Mailing Address - Phone:216-318-6561
Mailing Address - Fax:
Practice Address - Street 1:1994 BENT CREEK WAY SW APT D302
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-3891
Practice Address - Country:US
Practice Address - Phone:216-318-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy