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Contact Information

GEMETRIC T TAYLOR, DO
1723 STATELINE RD WEST ST (E)
SOUTHHAVEN, MS38671
 Phone: 662-550-6812
 Fax: 662-393-3344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for GEMETRIC T TAYLOR · (Male)

NPI # 1770822454
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/31/2013
Last updated 03/20/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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