Flewellen, Taylor Renee

Flewellen, Taylor Renee is an sole proprietor health care provider with primary practice located at 8132 Autumn Forest Dr , Jonesboro GA 30236-3971. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Flewellen, Taylor Renee can be contacted via phone (678) 704-1334.

Contact Information

Primary practice address
8132 Autumn Forest Dr Jonesboro GA 30236-3971
Phone: (678) 704-1334
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X Georgia
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1942839659
LBN Legal business name Flewellen, Taylor Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2020
Last updated Apr 4th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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