# TIMOTHY SIMON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609824416
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 040846 | GA | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 02/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00947086A | — | GA |
| 01 | — | 10556 | KAISER | — |
| 01 | — | 1700465 | UNITED HEALTHCARE | — |
| 01 | — | 2969776 | AETNA HMO | — |
| 01 | — | 4608346001 | CIGNA HMO | — |
| 01 | — | 52439381 | BCBS | — |
| 01 | — | 7375431 | AETNA NON HMO | — |