person
Taylor David Wachs, DO
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1013470566

Taylor David Wachs is a Student in an Organized Health Care Education/Training Program based in Montgomery, MS. Taylor David Wachs practices in Jackson, MS and has the professional credentials of DO. The NPI Number for Taylor David Wachs is 1013470566 and holds a License No. (Mississippi).

The current practice location address for Taylor David Wachs is 2500 N State St, Jackson, MS and can be reached out via phone at 334-322-2578.

Location: 2500 N State St, Jackson, MS, 36117-5614
person
Provider Profile Details
NPI Number
1013470566
Provider Name
Taylor David Wachs
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 36117-5614
Phone Number
334-322-2578
Fax Number
Provider Enumeration Date
04/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
334-322-2578
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
334-322-2578
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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