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1730751991
MARK TAYLOR COLLINS
DECATUR, GA
NPI
1730751991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
MARK TAYLOR COLLINS
120 E TRINITY PL
DECATUR, GA 30030-3302
Phone number: 404-378-2300
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Mailing Address
MARK TAYLOR COLLINS
120 E TRINITY PL
DECATUR, GA 30030-3302
Phone number: 404-378-2300
Copy
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