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Contact Information

KRISTIN S ANDERSON TAYLOR, PA
411 ORCHARD HILL RD
SUMMERVILLE, GA30747-6548
 Phone: 706-978-9991
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KRISTIN S ANDERSON TAYLOR · (Female)

NPI Number 1396805529
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/11/2006
Last updated 09/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 6019
  • MI License # 5601002268
  • NY License # 022313
  • GA Medicaid 1396805529
  • NY Medicaid 1396805529
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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