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Individual

DR. TIMOTHY J. MCPHERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 885-7758
Mailing address
104 BARFIELD DR, EASLEY, SC 29642-8273
(864) 631-2980

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21539
WV
207Q00000X
Family Medicine Physician
Primary
30241
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2489187
OH
05
3810000402
WV
05
64083207
KY
Enumeration date
12/05/2005
Last updated
09/26/2009
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