Individual
TIMOTHY MITCH CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 297-5700
(770) 718-1187
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
059381
GA
207RX0202X
Medical Oncology Physician
Primary
059381
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01054267
AMERIGROUP
GA
01
—
2789720
UHC
GA
01
—
391141
WELLCARE
GA
01
—
4660355
CIGNA
—
01
—
52205947
BCBS
GA
01
—
880605214A
PEACH STATE
GA
05
—
880605214A
—
GA
01
—
9474371
MULTIPLAN
GA
01
—
9929041
AETNA
GA
01
—
P00447452
MEDICARE RAILROAD
GA
Enumeration date
06/01/2007
Last updated
08/16/2017
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