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
Fax: (662) 767-4204
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053622498 NPPES
Mississippi MEDICAID 07387848

Popular Providers