Individual
DR. TIMOTHY MICHAEL FOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 721-2070
(910) 721-2074
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 721-2070
(910) 721-2074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-058488
IL
207R00000X
Internal Medicine Physician
2019013057
MO
207R00000X
Internal Medicine Physician
A141573
CA
208M00000X
Hospitalist Physician
Primary
2023-01534
NC
208M00000X
Hospitalist Physician
DR.0071799
CO
Other
Enumeration date
06/17/2010
Last updated
10/23/2023
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