Provider Demographics
NPI:1548319270
Name:TAYLOR, BILLY C (BS)
Entity type:Individual
Prefix:MR
First Name:BILLY
Middle Name:C
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1434 AUXBURY PL
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1772
Mailing Address - Country:US
Mailing Address - Phone:615-896-0800
Mailing Address - Fax:
Practice Address - Street 1:304 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:TN
Practice Address - Zip Code:37190-1125
Practice Address - Country:US
Practice Address - Phone:615-563-4542
Practice Address - Fax:615-563-2845
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist