Individual
MR. TIMOTHY MICHAEL LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
132 SUNSET CT, WEST COLUMBIA, SC 29169-2429
(803) 936-7450
(803) 936-7450
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27449
SC
363LF0000X
Family Nurse Practitioner
5015877
NC
Other
Enumeration date
03/03/2022
Last updated
05/02/2025
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