Provider Demographics
NPI:1023751401
Name:TAYLOR, CHYNA BECK (MD)
Entity type:Individual
Prefix:
First Name:CHYNA
Middle Name:BECK
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1813 DUNROBIN DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-5224
Mailing Address - Country:US
Mailing Address - Phone:706-980-2518
Mailing Address - Fax:
Practice Address - Street 1:200 E PONCE DE LEON AVE STE 150
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-3471
Practice Address - Country:US
Practice Address - Phone:706-980-2518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-14
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA105353208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics