Tabatha Taylor

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TABATHA TAYLOR

Doing business as

Holly Medical Supply Company

Practice address

3006 Gray Hwy
Macon, GA 31211-6684

Phone

(478) 752-3660

Fax

(478) 752-3622

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tabatha Taylor

Title

Owner

Phone

(478) 456-6713

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Holly Medical Supply Company Doing business as

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1508990375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 GRAY HWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312116684",
            "telephone_number": "478-752-3660",
            "fax_number": "478-752-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 GRAY HWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312116684",
            "telephone_number": "478-752-3660",
            "fax_number": "478-752-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABATHA TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-456-6713",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013929050A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51000005",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Medical Supply Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Macon, GA
• Providers in Macon, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.