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Organization

M.R. TAYLOR RAYBURN, JR. M.D. P.C.

Active
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Organization

M.R. TAYLOR RAYBURN, JR. M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAYLOR RAYBURN JR. (PRESIDENT)
(931) 381-1425
Entity
Organization

Contact information

Practice address
1411 HATCHER LN, COLUMBIA, TN 38401-3535
(931) 381-1425
Mailing address
1411 HATCHER LN, COLUMBIA, TN 38401-3535
(931) 381-1425

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD3322
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD3322
STATE MEDICAL LICENSE NUMBER
TN
Enumeration date
08/08/2009
Last updated
08/08/2009
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