Individual
DOUGLAS TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W FOREST AVE STE 200, JACKSON, TN 38301-3940
(731) 541-9490
Mailing address
700 W FOREST AVE STE 200, JACKSON, TN 38301-3940
(731) 541-9490
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
62550
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2014
Last updated
06/22/2021
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