Provider Demographics
NPI:1447202031
Name:TAYLOR, J CURT
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:CURT
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 FAIRGROUNDS RD
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-4417
Mailing Address - Country:US
Mailing Address - Phone:731-642-4434
Mailing Address - Fax:731-642-4402
Practice Address - Street 1:60 FAIRGROUNDS RD
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4417
Practice Address - Country:US
Practice Address - Phone:731-642-4434
Practice Address - Fax:731-642-4402
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNT1040152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0403280001OtherMEDICARE NSC
TN0083279OtherBLUE CROSS/BLUE SHIELD
TN0083279OtherBLUE CROSS/BLUE SHIELD
TNT78786Medicare UPIN