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1295388775
KRISTY SHANTA TAYLOR
DECATUR, GA
NPI
1295388775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 25915)
Enumeration Date
2019-07-23
Last Update Date
2019-07-23
Business Address
KRISTY SHANTA TAYLOR FNP-C
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
KRISTY SHANTA TAYLOR FNP-C
2935 ROSEBUD RD APT 605
LOGANVILLE, GA 30052-3072
Phone number: 901-570-4947
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