Individual
GRANT D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2204 PAVILION DR STE 310, KINGSPORT, TN 37660-4653
(423) 246-4155
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD39734
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3329892
—
TN
Enumeration date
04/18/2006
Last updated
02/14/2024
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