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TAYLOR ABERNATHY CFNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1942618780
Individual Registrant: TAYLOR ABERNATHY CFNP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
888 PINE ST MACON, GA 31201-2109 US
Tel: 478-633-7600 Fax: 478-633-7354
Tel: 478-633-7600 Fax: 478-633-7354
Contact information for business:
888 PINE ST MACON, GA 31201-2109 US
Tel: 478-633-7600 Fax: 478-633-7354
Tel: 478-633-7600 Fax: 478-633-7354
Registration Information:
NPI: 1942618780
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN205283 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| GA MEDICARE PTAN | 202I207665 | GA | 01 |
| 003152101E | GA | 05 |
