| Taylor Medical Center, Pllc | |
|
460 N Parkway Ste A Jackson TN 38305-2818 | |
| (731) 418-1656 | |
| Not Available |
| Full Name | Taylor Medical Center, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 460 N Parkway Ste A, Jackson, Tennessee |
| Authorized Official Name and Position | Mechelle Taylor Moragne (CEO, OWNER) |
| Authorized Official Contact | 7314181656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Medical Center, Pllc 460 N Parkway Ste A Jackson TN 38305-2818 Ph: (731) 418-1656 | Taylor Medical Center, Pllc 460 N Parkway Ste A Jackson TN 38305-2818 Ph: (731) 418-1656 |
| NPI Number | 1891242939 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Medicare PECOS PAC ID | 5092099291 |
|---|---|
| Medicare Enrollment ID | O20170308000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891242939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 37286 (Tennessee) | Primary |
| Provider Name | Mechelle Taylor Moragne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528093531 PECOS PAC ID: 7113980376 Enrollment ID: I20041109000195 |
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