Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 49895 | TN |
N | 207VG0400X | Gynecologist | 49895 | TN |
N | 207VX0000X | Obstetrician | 49895 | TN |
NPI | 1548429798 |
---|---|
Provider Name | Dr. Mistye Dawnielle Taylor |
First Address | Smyrna, TN 37167-5688 |
Second Address | Smyrna, TN 37167-5688 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 09/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
116356 | (05) | MS |