Individual
DR. MARK DAVID TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
24833 JOHN T REID PKWY, SCOTTSBORO, AL 35768-2342
(256) 574-5698
Mailing address
123 CORRINE DR, MADISON, AL 35758-9777
(256) 679-8970
(256) 382-2705
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
R-229-TA-987
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171716
—
AL
Enumeration date
07/29/2009
Last updated
04/10/2022
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