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NPI Code Detail

MEDICARE: MRS. TAMEIKA SHERI TAYLOR LCSWA

MEDICARE: MRS. TAMEIKA SHERI TAYLOR LCSWA
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
11041C0700XClinical Social WorkerP017342NC

General Provider Information

NPI Number : 1104536242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMEIKA SHERI TAYLOR LCSWA
Provider Business Mailing Address
First Line : 210 SOUTHLAND STATION DR APT 44
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-3256
Country : US
Telephone Number : 252-536-8476
Fax Number :
Provider Business Practice Location Address
First Line : 3050 BERKS WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27614-6598
Country : US
Telephone Number : 919-900-7438
Fax Number : 919-900-7576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2022
Last Update Date : 11/30/2022

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Directions to “ MRS. TAMEIKA SHERI TAYLOR LCSWA” Practice Location

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