Individual
MICHAEL WALTER TIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
980 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30045-4706
(770) 962-8025
(770) 822-1573
Mailing address
980 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30045-4706
(770) 962-8025
(770) 822-1573
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
030391
GA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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