Individual provider · Type 1 NPI

Charlsie Thomas Taylor, PA-C

Medical Physician Assistant · Gainesville, GA

NPI number 1962948422 Active

Practice location

1240 Jesse Jewell Pkwy SE, Suite 500
Gainesville, GA 30501-3862

Call (770) 536-9864 Map

Fax (770) 297-5023

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X008235 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1962948422

Charlsie Thomas Taylor, PA-C's National Provider Identifier is 1962948422, issued on Jan 9, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gainesville, GA. The record was last updated on Dec 3, 2020.