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NPI Code Detail

MEDICARE: MRS. BERNICE T TAYLOR

MEDICARE: MRS. BERNICE T TAYLOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12471M2300XMammography Radiologic Technologist310986GA

General Provider Information

NPI Number : 1326996349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BERNICE T TAYLOR
Provider Business Mailing Address
First Line : 250 N ARCADIA AVE
Second Line :
City : DECATUR
State : GA
Zip : 30030-2115
Country : US
Telephone Number : 404-321-6111
Fax Number :
Provider Business Practice Location Address
First Line : 250 N ARCADIA AVE
Second Line :
City : DECATUR
State : GA
Zip : 30030-2115
Country : US
Telephone Number : 404-321-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ MRS. BERNICE T TAYLOR ” Practice Location

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