Individual
MRS. DOROTHY M. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 WALNUT TRACE DR., JACKSON, TN 38305
(731) 217-8715
(731) 512-4690
Mailing address
104 WALNUT TRACE DR., JACKSON, TN 38305
(731) 217-8715
(731) 512-4690
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
2012744662
TN
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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