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Contact Information

KEITH C TAYLOR, ATC
1706 MAGNOLIA WAY
AUGUSTA, GA30909
 Phone: 706-210-7529
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for KEITH C TAYLOR · (Male)

NPI Number 1104070549
Status Active
Credentials ATC
Entity Individual
Enumeration date 11/12/2008
Last updated 04/30/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • GA License # AT000386
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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