Individual
TIMOTHY TRULOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1950 PALMYRA RD, ALBANY, GA 31701-1575
(229) 883-1503
(229) 438-2815
Mailing address
1950 PALMYRA RD, ALBANY, GA 31701-1575
(229) 883-1503
(229) 438-2815
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D46355
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00264261C
—
GA
Enumeration date
09/12/2005
Last updated
04/30/2013
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