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NPI Code Detail

MEDICARE: TAYLOR HAMM MA

MEDICARE: TAYLOR HAMM MA
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
1101YP2500XProfessional CounselorLPC015559GA

General Provider Information

NPI Number : 1003400359
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR HAMM MA
Provider Business Mailing Address
First Line : 610 RIDLEY AVE
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2236
Country : US
Telephone Number : 706-884-5050
Fax Number : 706-884-5056
Provider Business Practice Location Address
First Line : 610 RIDLEY AVE
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2236
Country : US
Telephone Number : 706-884-5050
Fax Number : 706-884-5056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2021
Last Update Date : 02/06/2026

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Directions to “ TAYLOR HAMM MA” Practice Location

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