M.R. Taylor Rayburn, Jr. M.D. P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD3322 Issued in TN

Legal business name

M.R. TAYLOR RAYBURN, JR. M.D. P.C.

Practice address

1411 Hatcher LN
Columbia, TN 38401-3535

Phone

(931) 381-1425

NPI assigned

Aug 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Taylor Rayburn Jr.

Title

President

Phone

(931) 381-1425

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249689600000",
    "number": "1316178346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013535",
            "telephone_number": "931-381-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013535",
            "telephone_number": "931-381-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.R. TAYLOR RAYBURN, JR. M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-08",
        "last_updated": "2009-08-08",
        "status": "A",
        "authorized_official_last_name": "RAYBURN",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-381-1425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD3322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUMBER",
            "identifier": "MD3322",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Columbia, TN
• Providers in Columbia, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.