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Individual

DR. TIMOTHY J O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6112 SAINT GILES ST, RALEIGH, NC 27612-7043
(919) 893-4465
Mailing address
6112 SAINT GILES ST, RALEIGH, NC 27612-7043
(919) 893-4465

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2020-03627
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/13/2016
Last updated
12/04/2024
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