Individual
DR. WALTER T TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 AVENT DR, GRENADA, MS 38901-5230
(662) 227-1166
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11788
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017454
—
MS
Enumeration date
04/10/2006
Last updated
08/05/2009
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