| NPI | 1073282513 |
|---|---|
| Doing Business As | TAYLOR MADE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CALLIE R TAYLOR Owner 870-269-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-08-05 |