Provider Demographics
NPI:1992770929
Name:TAYLOR, JOSEPH G (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:G
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:264 NEW SHACKLE ISLAND RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2481
Mailing Address - Country:US
Mailing Address - Phone:615-824-4244
Mailing Address - Fax:615-824-5916
Practice Address - Street 1:264 NEW SHACKLE ISLAND RD
Practice Address - Street 2:SUITE 107
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2481
Practice Address - Country:US
Practice Address - Phone:615-824-4244
Practice Address - Fax:615-824-5916
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNM16446207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3018181Medicaid
TN3018181Medicaid
TNA98205Medicare UPIN