Individual
DR. SHANNON MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
34 BRUNSWICK ST, BYHALIA, MS 38611-7000
(662) 838-6898
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3666-12
MS
Other
Enumeration date
07/05/2012
Last updated
01/18/2017
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