Individual
TIMOTHY CLEVE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
750 MOUNT ZION RD, JONESBORO, GA 30236-3002
(770) 961-5577
(770) 961-1407
Mailing address
PO BOX 69, JONESBORO, GA 30237-0069
(770) 961-5577
(770) 961-1407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006820
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00219463
RAILROAD MEDICARE
GA
Enumeration date
07/24/2006
Last updated
07/08/2007
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