Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTIN SUE ANDERSON-TAYLOR, P.A.
ActiveMedical Physician Assistant · SUMMERVILLE, GA
Registration Details
- NPI Number
- 1396805529
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2006 (19.358766230309 yrs)
- Last Updated
- Sep 13, 2018
- Licenses
-
5601002268 (MI)022313 (NY)6019 (GA)
Practice Information
- Address
-
411 ORCHARD HILL RDSUMMERVILLE, GA, 307476548Browse GA providers · Browse ZIP 30747
- Phone
- 7069789991
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.