MEDICARE: DR. CHRISTOPHER TOBIN TAYLOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	29986	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013911791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER TOBIN TAYLOR MD

Provider Business Mailing Address
First Line	:	1124 E WEISGARBER RD
Second Line	:	STE 100
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2686
Country	:	US
Telephone Number	:	865-584-0905
Fax Number	:	865-584-3892

Provider Business Practice Location Address
First Line	:	1124 E WEISGARBER RD
Second Line	:	STE 100
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2686
Country	:	US
Telephone Number	:	865-584-0905
Fax Number	:	865-584-3892

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	03/01/2017

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