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Individual

MARTHA N TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7690 WOLF RIVER CIRCLE, GERMANTOWN, TN 38138
(901) 756-1231
(901) 755-1590
Mailing address
PO BOX 1000, DEPT # 978, MEMPHIS, TN 38148-0001
(901) 756-1231
(901) 755-1590

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15013
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1522484
TN
01
4342196
BCBS
TN
01
P01152796
RAILROAD MEDICARE
Enumeration date
08/09/2005
Last updated
01/14/2014
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