Individual
JAMES C TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T1040
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083279
BLUE CROSS/BLUE SHIELD
TN
01
—
0403280001
MEDICARE NSC
TN
Enumeration date
05/16/2006
Last updated
07/05/2024
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