| NPI | 1952041865 |
|---|---|
| Doing Business As | DR. LISA TAYLOR |
| Entity Type | Organization |
| Authorized Contact | LISA D. HALL Provider 678-517-9984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-04-15 |