Mathis, Taylor Phillips
Mathis, Taylor Phillips is an sole proprietor health care provider with primary practice located at 1211 S Gloster St Suite A, Tupelo MS 38801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mathis, Taylor Phillips can be contacted via phone (662) 767-4200.Contact Information
Primary practice address
1211 S Gloster St Suite A
Tupelo MS 38801
Phone: (662) 767-4200
Fax: (662) 767-4204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 24399 | Mississippi |
Profile Details
| NPI number | 1053622498 |
|---|---|
| LBN Legal business name | Mathis, Taylor Phillips |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2010 |
| Last updated | Feb 1st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053622498 | NPPES |
| Mississippi | MEDICAID | 07387848 |
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