Individual
DR. TIMOTHY E CLONINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8310 UNIVERSITY EXEC PARK DR, SUITE 500, CHARLOTTE, NC 28262-3383
(704) 547-8762
(704) 547-1632
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3252
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
13856
SC
2085R0001X
Radiation Oncology Physician
Primary
15035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1561042009
CIGNA
NC
01
—
2086198
UNITED HEALTHCARE
NC
01
—
23143
BLUE CROSS
NC
01
—
26019
PARTNERS MEDICARE
NC
01
—
58014
MEDCOST
NC
05
—
8923143
—
NC
05
—
E23143
—
SC
Enumeration date
03/16/2006
Last updated
07/08/2007
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