Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spencer Thomas Taylor

Individual provider Athletic Trainer · NPI 1679125819

Spencer Thomas Taylor is an Athletic Trainer in Leesburg, Georgia. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

110 Willard Ct
Leesburg, GA 31763-4584
Phone: (229) 886-3625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1679125819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 9, 2019
Last updated in NPPESJuly 9, 2019
Mailing address110 Willard Ct, Leesburg, GA 31763-4584

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