Individual
TEDFORD TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 MED TECH PKWY, STE 160, JOHNSON CITY, TN 37604-2364
(423) 794-5560
(423) 975-0051
Mailing address
301 MED TECH PKWY, STE 160, JOHNSON CITY, TN 37604-2364
(423) 794-5560
(423) 975-0051
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9063
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3164857
—
TN
Enumeration date
06/17/2005
Last updated
01/08/2016
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