NPI Profile for GEMETRIC T TAYLOR in SOUTHHAVEN, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| 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 |
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GEMETRIC T TAYLOR
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