Individual
SIDNEY D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
412 CENTRAL AVE, COLDWATER, MS 38618-3843
(662) 622-5173
(662) 622-5590
Mailing address
PO BOX 486, COLDWATER, MS 38618-0486
(662) 622-5173
(662) 622-5590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
964
MS
Other
Enumeration date
07/17/2017
Last updated
03/17/2018
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