Healthcare Provider Details

I. General information

NPI: 1033877683
Provider Name (Legal Business Name): TAYLOR WILLIAMS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR COLLIER

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2075 GRAYSON HWY
GRAYSON GA
30017-1242
US

IV. Provider business mailing address

6104 JOUST LN
ALEXANDRIA VA
22315-4807
US

V. Phone/Fax

Practice location:
  • Phone: 770-338-0881
  • Fax:
Mailing address:
  • Phone: 229-425-6040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH033409
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: