Provider Demographics
NPI:1306573464
Name:TAYLOR, HOLLIE D (PHARMD)
Entity type:Individual
Prefix:
First Name:HOLLIE
Middle Name:D
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5075 ALABAMA HWY
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-2435
Mailing Address - Country:US
Mailing Address - Phone:706-965-2287
Mailing Address - Fax:
Practice Address - Street 1:5075 ALABAMA HWY
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-2435
Practice Address - Country:US
Practice Address - Phone:706-965-2287
Practice Address - Fax:706-965-2325
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH033889183500000X
TN46505183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist