Individual
DR. TIMOTHY SLAYTON WITWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1207 NORTH ROAD STREET, ELIZABETH CITY, NC 27909
(252) 335-4351
(252) 335-7932
Mailing address
1207 NORTH ROAD STREET, ELIZABETH CITY, NC 27909
(252) 335-4351
(252) 335-7932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24210
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88709
BLUE CROSS
NC
05
—
8988709
—
NC
Enumeration date
10/26/2006
Last updated
11/09/2010
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