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Individual

TIMOTHY JUSTIN OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
303 HARRIS INDUSTRIAL BLVD STE 5, VIDALIA, GA 30474-8854
(912) 535-7000
(912) 535-7020
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-4794

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
68085
GA
207P00000X
Emergency Medicine Physician
8325558
AL

Other

Enumeration date
05/08/2009
Last updated
05/15/2021
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