Individual
MR. RYAN MARK TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5197
Mailing address
23336 AUTUMN HILLS DR, SAUCIER, MS 39574-7124
(228) 697-1491
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA3165
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA3165
ALL COMMERCIAL INSURANCES
MS
Enumeration date
06/21/2022
Last updated
06/21/2022
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