Individual
TIMOTHY MACHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODRUFF CIR NE STE 327, ATLANTA, GA 30322-1020
(225) 757-4070
Mailing address
100 WOODRUFF CIR NE STE 327, ATLANTA, GA 30322-1020
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
85062
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2390325
—
LA
Enumeration date
04/14/2015
Last updated
03/09/2020
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