Individual
JOSHUA DAVID TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2011 N ROAN ST, JOHNSON CITY, TN 37601-3130
(423) 610-7155
Mailing address
2101 FORT HENRY DR SPC E-9, KINGSPORT, TN 37664-3658
(423) 246-1585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3523
TN
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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