Individual
TIM JAMES EAGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-6000
Mailing address
PO BOX 492, REHOBOTH BEACH, DE 19971-0492
(303) 519-0375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0177801
CO
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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