Jimmy Mike Taylor Valid NPI
Individual provider · Pharmacist · Pooler, GA
- NPI
- 1053528984
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 14254 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-05-17
- Last updated
- 2007-07-08
Practice location
110 Medical Park Dr
Pooler, GA 31322-1956
(912) 748-3194