Most Relevant Information
Provider Data
| NPI Number: | 1003233826 |
| Provider Name: | CLIFFORD TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2014 |
| Last Updated: | 03/19/2014 |
Provider Practice Location
554 ROUNTREE RD
RIVERDALE
GA
302743445
Practice Location Phone/Fax
| Phone: | 4047077451 |
| Fax: |
Provider Mailing Location
554 ROUNTREE RD
RIVERDALE
GA
302743445
Provider Mailing Phone/Fax
| Phone: | 4047077451 |
| Fax: |