MEDICARE: TAYLOR JOANMARIE PUTMAN

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	237600000X	Audiologist-Hearing Aid Fitter
2	231H00000X	Audiologist

General Provider Information

NPI Number	:	1356274773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR JOANMARIE PUTMAN

Provider Business Mailing Address
First Line	:	5 FIRST VILLAGE DR
Second Line	:
City	:	PINEHURST
State	:	NC
Zip	:	28374-9495
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 PAVILION WAY
Second Line	:
City	:	SOUTHERN PINES
State	:	NC
Zip	:	28387-4562
Country	:	US
Telephone Number	:	910-295-6831
Fax Number	:

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

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ TAYLOR JOANMARIE PUTMAN ” Practice Location

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