LAUREL KEY TAYLOR (NPI# 1124666409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124666409 |
| Entity Type | Individual |
| Full Name | LAUREL KEY TAYLOR |
| Practice Address |
285 Glynn St S Ste 104 Fayetteville GA 30214-2015 |
| Mailing Address |
285 Glynn St S Fayetteville GA 30214-2015 |
| Practice Telephone | 6782069891 |
| Mailing Telephone | 6782069891 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224900000X | Mastectomy Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215310511 | Laurel Taylor | Pharmacist | 132 Elwood Ln, Virgie, KY 41572-9030 | 2015-07-04 |
| 1689142465 | Laurel Taylor | Social Worker | 801 Argonne Dr, Baltimore, MD 21218-1943 | 2018-11-09 |
| 1891950622 | Laurel Elizabeth Taylor | Dentist | 1410 Plaza West Rd, Winston-salem, NC 27103-1401 | 2008-07-21 |
| 1902902489 | Laurel Marie Taylor | Physician Assistant | 75 Francis St, Brigham & Women's, Tower 3a, Cardiac Arrhythmia, Boston, MA 02115-6110 | 2006-09-15 |
| 1598755613 | Laurel Ann Taylor | Pediatrics | 4600 Breton Rd Se, Suite 103, Kentwood, MI 49508-5262 | 2005-10-28 |
| Street Address |
285 GLYNN ST S STE 104 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 224900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Mastectomy Fitter |
| An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1245785294 | Sonja B Autry | Mastectomy Fitter | 234 Owen Dr, Fayetteville, NC 28304-3414 | 2016-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346712668 | Molly Marie Hopkins | Mastectomy Fitter | 313 Blue Ridge Trce, Woodstock, GA 30189-6296 | 2018-12-27 |
| 1942852884 | Stacie Gullatt | Mastectomy Fitter | 2948 Laguna Dr, Decatur, GA 30032-3526 | 2019-07-11 |
| 1053852343 | Brenda Kay Holzer | Mastectomy Fitter | 2141 Eastview Pkwy, Conyers, GA 30013-5756 | 2017-03-20 |
| 1396125498 | Barbara Wallace | Mastectomy Fitter | 4395 Ogeechee Rd, Ste 209, Savannah, GA 31405-1249 | 2015-06-03 |
| 1164778411 | Harriette Peacock Bryant | Mastectomy Fitter | 7130 Blue Ridge Dr, Blue Ridge, GA 30513-3605 | 2012-07-24 |
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.