Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 29986 | TN |
NPI | 1013911791 |
---|---|
Provider Name | Dr. Christopher Tobin Taylor |
First Address | Knoxville, TN 37909-2686 |
Second Address | Knoxville, TN 37909-2686 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 01/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3818880 | (05) | TN |
G42018 | (02) | TN |