Healthcare Provider Details

I. General information

NPI: 1386577682
Provider Name (Legal Business Name): TAYLOR OAKS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5730 OGEECHEE RD STE 192
SAVANNAH GA
31405-9581
US

IV. Provider business mailing address

5730 OGEECHEE RD STE 192
SAVANNAH GA
31405-9581
US

V. Phone/Fax

Practice location:
  • Phone: 912-201-1140
  • Fax:
Mailing address:
  • Phone: 912-201-1140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number14058
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: