Individual
MR. TIMOTHY SCOTT ENFINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1400 MAGNOLIA BLUFF DR, GAUTIER, MS 39553-1901
(228) 300-1967
Mailing address
1400 MAGNOLIA BLUFF DR, GAUTIER, MS 39553-1901
(228) 300-1967
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
905408
MS
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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