Individual
DR. TIMOTHY SCOTT MAUGHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3855 PLEASANT HILL RD, SUITE 470, DULUTH, GA 30096-1407
(770) 813-8888
(770) 813-0007
Mailing address
3855 PLEASANT HILL RD, SUITE 470, DULUTH, GA 30096-1407
(770) 813-8888
(770) 813-0007
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
031472
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00525566A
—
GA
Enumeration date
11/13/2006
Last updated
07/08/2007
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