Individual
MR. GEMETRIC T. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1723 STATELINE RD WEST ST (E), SOUTHHAVEN, MS 38671
(662) 550-6812
(662) 393-3344
Mailing address
1723 STATELINE RD WEST ST (E), SOUTHHAVEN, MS 38671
(662) 550-6812
(662) 393-3344
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
MS
156FX1800X
Optician
—
—
Other
Enumeration date
01/31/2013
Last updated
03/20/2024
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