Provider Demographics
NPI:1912747114
Name:DAVIS, TAYLOR SHARP (MD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:SHARP
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL DR # MA111
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65212-1000
Mailing Address - Country:US
Mailing Address - Phone:573-882-1767
Mailing Address - Fax:
Practice Address - Street 1:4230 PHILIPS FARM RD FL 2
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-0067
Practice Address - Country:US
Practice Address - Phone:573-882-4800
Practice Address - Fax:573-884-0723
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2025017366207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology