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NPI Code Detail

MEDICARE: JERROD TAYLOR MD

MEDICARE: JERROD 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
1207RP1001XPulmonary Disease Physician34169AL
2207RC0200XCritical Care Medicine (Internal Medicine) Physician34169AL
3207RP1001XPulmonary Disease Physician18516MS

General Provider Information

NPI Number : 1427154327
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERROD TAYLOR MD
Provider Business Mailing Address
First Line : 2101 HIGHWAY 90
Second Line :
City : GAUTIER
State : MS
Zip : 39553-5340
Country : US
Telephone Number : 228-497-7576
Fax Number : 228-497-8869
Provider Business Practice Location Address
First Line : 3635 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-5711
Country : US
Telephone Number : 228-872-1951
Fax Number : 228-875-9998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 01/26/2023

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Directions to “ JERROD TAYLOR MD” Practice Location

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