Individual
MRS. TRACY M TIMONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 S. HERLONG AVE STE 102, ROCK HILL, SC 29732
(803) 324-8004
Mailing address
1665 HERLONG CT STE A, ROCK HILL, SC 29732
(803) 324-8004
(803) 323-6472
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
15793
SC
173000000X
Legal Medicine
Primary
MD15793
SC
207R00000X
Internal Medicine Physician
15793
SC
Other
Enumeration date
08/17/2005
Last updated
07/14/2014
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