Individual
MARTAVIOUS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3615 S HOUSTON LEVEE RD STE 110, COLLIERVILLE, TN 38017-9173
(901) 221-7173
(901) 221-7934
Mailing address
8101 HACKS CROSS RD STE 110, OLIVE BRANCH, MS 38654-4032
(901) 221-7173
(901) 221-7934
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3510
TN
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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