Provider Demographics
NPI:1912743568
Name:HELTON, TAYLOR T
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:T
Last Name:HELTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 PEACHTREE CENTER AVE NE APT 2017
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-1952
Mailing Address - Country:US
Mailing Address - Phone:903-742-1414
Mailing Address - Fax:
Practice Address - Street 1:161 PEACHTREE CENTER AVE NE APT 2017
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-1952
Practice Address - Country:US
Practice Address - Phone:903-742-1414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter