Most Relevant Information
Provider Data
| NPI Number: | 1003438904 |
| Provider Name: | TAYLOR PHILLIPS OD, MBA |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | S-E34 |
Most Important Dates
| Enumeration Date: | 05/13/2020 |
| Last Updated: | 05/13/2020 |
Provider Practice Location
1401 US HIGHWAY 80 W
DEMOPOLIS
AL
367324127
Practice Location Phone/Fax
| Phone: | 3342890466 |
| Fax: |
Provider Mailing Location
PO BOX 218
GILBERTOWN
AL
369080218
Provider Mailing Phone/Fax
| Phone: | 2514583914 |
| Fax: |