Healthcare Provider Details

I. General information

NPI: 1720597289
Provider Name (Legal Business Name): FRANK A TAYLOR JR. B.H.H.N.,M.H.,N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6061 HICKORY RIDGE MALL STE. 452
MEMPHIS TN
38115
US

IV. Provider business mailing address

2833 CLARKE ROAD
MEMPHIS TN
38115
US

V. Phone/Fax

Practice location:
  • Phone: 901-383-0404
  • Fax:
Mailing address:
  • Phone: 901-458-3663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: