Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 32770 | AL |
N | 207R00000X | Internist | 125061295 | IL |
N | 111NI0900X | Internist | 125061295 | IL |
NPI | 1043572191 |
---|---|
Provider Name | Dr. Tiffany Taylor Mayo |
First Address | Birmingham, AL 35233-2110 |
Second Address | Birmingham, AL 35233-2110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2012 |
Last Update Date | 12/03/2017 |