Most Relevant Information
Provider Data
| NPI Number: | 1003400359 |
| Provider Name: | TAYLOR HAMM BA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/26/2021 |
| Last Updated: | 02/26/2021 |
Provider Practice Location
122 GORDON COMMERCIAL DR
LAGRANGE
GA
302405754
Practice Location Phone/Fax
| Phone: | 7068454054 |
| Fax: |
Provider Mailing Location
122 GORDON COMMERCIAL DR
LAGRANGE
GA
302405754
Provider Mailing Phone/Fax
| Phone: | 7062987800 |
| Fax: | 7068454430 |