Phelps, Taylor Shaun
Phelps, Taylor Shaun is an individual health care provider with primary practice located at 665 Duluth Hwy Suite 401, Lawrenceville GA 30046-3328. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Phelps, Taylor Shaun can be contacted via phone (678) 312-4077.Contact Information
Primary practice address
665 Duluth Hwy Suite 401
Lawrenceville GA 30046-3328
Phone: (678) 312-4077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 309854 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 333840 | Louisiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 309854 | New York |
Profile Details
| NPI number | 1083145775 |
|---|---|
| LBN Legal business name | Phelps, Taylor Shaun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2017 |
| Last updated | Feb 21st, 2023 - about 3 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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