Individual provider · Type 1 NPI
Laurel Key Taylor
Mastectomy Fitter · Fayetteville, GA
NPI number
1124666409
Active
Practice location
285 Glynn St S Ste 104
Fayetteville, GA 30214-2015
Mailing address
285 Glynn St S
Fayetteville, GA 30214-2015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | None listed |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
About NPI 1124666409
Laurel Key Taylor's National Provider Identifier is 1124666409, issued on Dec 17, 2019. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Fayetteville, GA. The record was last updated on Dec 17, 2019.