Laurel Key Taylor
Mastectomy Fitter in Fayetteville, GA. Individual provider (NPI-1).
NPI number1124666409
StatusActive
Last updated in NPPESDec 17, 2019
Details
- NPI
- 1124666409
- Entity type
- Individual (NPI-1)
- Name
- Laurel Key Taylor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2019
- Certification date
- Dec 17, 2019
- Last updated
- Dec 17, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224900000X | Mastectomy Fitter | – | – | Yes |
Practice location
285 Glynn St S Ste 104Fayetteville, GA 30214-2015
Phone 678-206-9891
Mailing address
285 Glynn St SFayetteville, GA 30214-2015
Phone 678-206-9891
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