Individual
MR. TRENTON PETER TIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1985 TATE BLVD SE STE 600, HICKORY, NC 28602-1433
(828) 328-5500
Mailing address
1449 S CHURCH ST APT 536, CHARLOTTE, NC 28203-6428
(616) 293-6976
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0010-10530
NC
224Z00000X
Occupational Therapy Assistant
5202007565
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
05/03/2021
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