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Individual

DR. TIMOTHY JOHN MINTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5356 REYNOLDS STREET, SUITE 505, SAVANNAH, GA 31405
(912) 644-0744
(912) 644-0756
Mailing address
836 E. 65TH STREET, SUITE 22, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-3320

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
072876
GA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
251241
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003152522A
GA
Enumeration date
09/30/2008
Last updated
08/04/2020
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