Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GEMETRIC T. TAYLOR, DO
Active Sole ProprietorMR. GEMETRIC T. TAYLOR, DO is a Optician, Dispensing healthcare provider located in SOUTHHAVEN, Mississippi. NPI 1770822454 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · SOUTHHAVEN, MS
Registration Details
- NPI Number
- 1770822454
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2013 (13.543886837843 yrs)
- Last Updated
- Mar 20, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1723 STATELINE RD WEST ST (E)SOUTHHAVEN, MS, 38671Browse MS providers · Browse ZIP 38671
- Phone
- 6625506812
- Fax
- 6623933344
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.