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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