Organization
JOHN A TAYLOR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA ELENA TOMLINSON (OFFICE MANAGER)
(615) 325-6755
Entity
Organization
Contact information
Practice address
307 S BROADWAY, PORTLAND, TN 37148-1413
(615) 325-6755
(615) 325-6936
Mailing address
307 S BROADWAY, PORTLAND, TN 37148-1413
(615) 325-6755
(615) 325-6936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000015302
TN
363L00000X
Nurse Practitioner
APN0000006807
TN
363L00000X
Nurse Practitioner
APN0000012218
TN
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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