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NPI Code Detail

MEDICARE: FELIX TAYLOR

MEDICARE: FELIX TAYLOR
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
1363L00000XNurse Practitioner902294MS

Other Identifiers

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

General Provider Information

NPI Number : 1982119228
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELIX TAYLOR
Provider Business Mailing Address
First Line : PO BOX 746085
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6085
Country : US
Telephone Number : 469-727-6675
Fax Number :
Provider Business Practice Location Address
First Line : 4541 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39206-5308
Country : US
Telephone Number : 601-533-7017
Fax Number : 769-333-9151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2017
Last Update Date : 11/18/2024

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Directions to “ FELIX TAYLOR ” Practice Location

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