Individual
MATTHEW TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(337) 494-2023
(337) 430-6966
Mailing address
196 GRAND LAKES DR, THIBODAUX, LA 70301-1610
(337) 581-6358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
331531
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2524861
—
LA
Enumeration date
03/31/2020
Last updated
08/09/2023
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