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Individual

TIMOTHY MARK ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4350 TOWNE CENTRE DR STE 1000, EVANS, GA 30809-3328
(706) 737-4275
Mailing address
PO BOX 3845, AUGUSTA, GA 30914-3845
(706) 737-4275

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35941
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003208287A
GA
Enumeration date
06/18/2013
Last updated
04/14/2020
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