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Individual

TIMOTHY CRATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2118 COWAN HWY, WINCHESTER, TN 37398-2637
(931) 962-4040
Mailing address
2118 COWAN HWY, WINCHESTER, TN 37398-2637
(931) 962-4040

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-29083
KS
207R00000X
Internal Medicine Physician
Primary
58508
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q00181273
MEDICARE
TN
05
Q045257
TN
Enumeration date
01/13/2006
Last updated
02/08/2023
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