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NPI Code Detail

MEDICARE: DR. JASON K TAYLOR M.D.

MEDICARE:  DR. JASON K TAYLOR  M.D.
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
1207RR0500XRheumatology Physician19180MS
2174400000XSpecialist19180MS

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 : 1649481607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON K TAYLOR M.D.
Provider Business Mailing Address
First Line : PO BOX 23666
Second Line :
City : JACKSON
State : MS
Zip : 39225-3666
Country : US
Telephone Number : 601-200-4749
Fax Number : 601-200-5929
Provider Business Practice Location Address
First Line : 106 HIGHLAND WAY STE 203
Second Line :
City : MADISON
State : MS
Zip : 39110-6933
Country : US
Telephone Number : 601-200-4476
Fax Number : 601-200-4530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 12/03/2021

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Directions to “ DR. JASON K TAYLOR M.D.” Practice Location

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