Healthcare Provider Details

I. General information

NPI: 1558274357
Provider Name (Legal Business Name): ANNE MARIE TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3037 KENTMERE DR
CUMMING GA
30040-1220
US

IV. Provider business mailing address

3037 KENTMERE DR
CUMMING GA
30040-1220
US

V. Phone/Fax

Practice location:
  • Phone: 678-960-9130
  • Fax:
Mailing address:
  • Phone: 678-960-9130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: