Search › Georgia › 363LP0200X
Taylor Glaze, PNP
NPI 1437720364 · on the registry since 2021
Practice
- Address
- 1114 Ga Highway 96 Ste D3-D5
Kathleen, GA 31047 - Phone
- (478) 910-1090
- Organisation at this address
- Careconnect Health, Inc.
Publix Super Markets IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 5300 Bowman Park, Macon, GA
- 1001 Johnson Fy Rd Ne, Atlanta, GA
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 363LP0222X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia