Organization
DAVID ALAN TIMM
Active
Other names
Pediatric & Adolescent Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN TIMM M. D. (OWNER)
(601) 442-7676
Entity
Organization
Contact information
Practice address
308 HIGHLAND BLVD, NATCHEZ, MS 39120-4611
(601) 442-7676
(601) 442-9590
Mailing address
308 HIGHLAND BLVD, NATCHEZ, MS 39120-4611
(601) 442-7676
(601) 442-9590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C5115
MS
208000000X
Pediatrics Physician
016299
LA
208000000X
Pediatrics Physician
10207
MS
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
R691941
MS
363LF0000X
Family Nurse Practitioner
R863841
MS
363LF0000X
Family Nurse Practitioner
RN066376 APO4870
LA
363LF0000X
Family Nurse Practitioner
RN109495 APO04933
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015251
—
MS
05
—
1446009
—
LA
Enumeration date
10/26/2006
Last updated
01/02/2008
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