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NPI Code Detail

MEDICARE: TAYLOR ROTELL KING PAA

MEDICARE: TAYLOR ROTELL KING PAA
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
1367H00000XAnesthesiologist Assistant10601GA

General Provider Information

NPI Number : 1558945121
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR ROTELL KING PAA
Provider Business Mailing Address
First Line : 1001 JOHNSON FY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1605
Country : US
Telephone Number : 404-785-2008
Fax Number :
Provider Business Practice Location Address
First Line : 1405 CLIFTON RD NE FL 3
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1060
Country : US
Telephone Number : 404-785-6670
Fax Number : 404-785-1362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2021
Last Update Date : 01/19/2026

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Directions to “ TAYLOR ROTELL KING PAA” Practice Location

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