Healthcare Provider Details

I. General information

NPI: 1053206508
Provider Name (Legal Business Name): SAVANNAH TURNER TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 DIXIE ST STE 220
CARROLLTON GA
30117-3889
US

IV. Provider business mailing address

706 DIXIE ST STE 220
CARROLLTON GA
30117-3889
US

V. Phone/Fax

Practice location:
  • Phone: 770-812-8825
  • Fax:
Mailing address:
  • Phone: 770-812-8825
  • Fax: 770-812-5910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP268846
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: