Individual
MR. TAYLOR JACK HELMBOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 MADISON AVE, MEMPHIS, TN 38103-3438
(901) 448-5500
Mailing address
371 BUBBY DR, COLLIERVILLE, TN 38017-1025
(865) 803-6282
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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