Individual
TIMOTHY R TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9216 ROYAL MOUNTAIN DR, CHATTANOOGA, TN 37421-7405
(423) 509-7264
Mailing address
9216 ROYAL MOUNTAIN DR, CHATTANOOGA, TN 37421-7405
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
47875
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000810147G
—
GA
Enumeration date
10/11/2006
Last updated
04/26/2012
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