Most Relevant Information
Provider Data
| NPI Number: | 1003474628 |
| Provider Name: | WALTER TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP1600X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/29/2019 |
| Last Updated: | 05/29/2019 |
Provider Practice Location
1921 S LUMPKIN RD
COLUMBUS
GA
319032727
Practice Location Phone/Fax
| Phone: | 7067500422 |
| Fax: | 7066095805 |
Provider Mailing Location
1921 S LUMPKIN RD
COLUMBUS
GA
319032727
Provider Mailing Phone/Fax
| Phone: | 7067500422 |
| Fax: | 7066095805 |