Taylor, Jeremy S.

Taylor, Jeremy S. is an individual health care provider with primary practice located at 804 Highway 51 , Madison MS 39110-8404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Taylor, Jeremy S. can be contacted via phone (601) 414-4770.

Contact Information

Primary practice address
804 Highway 51 Madison MS 39110-8404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23700 Mississippi
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 23700 Mississippi

Profile Details

NPI number 1356605752
LBN Legal business name Taylor, Jeremy S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Oct 28th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356605752 NPPES
Mississippi Other 23700 MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE

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