Individual
DR. DAVID PROVOSTY TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 OLD PASS RD, GULFPORT, MS 39501
(228) 863-9977
(228) 863-9912
Mailing address
4502 OLD PASS RD, GULFPORT, MS 39501
(228) 863-9977
(228) 863-9912
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23293
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03604211
—
MS
05
—
R10473
—
AL
Enumeration date
06/08/2010
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us