Individual
TAYLOR PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MBA
Contact information
Practice address
1401 US HIGHWAY 80 W, DEMOPOLIS, AL 36732-4127
(334) 289-0466
Mailing address
PO BOX 218, GILBERTOWN, AL 36908-0218
(251) 458-3914
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-E34
AL
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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