Individual
TIMOTHY C HIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3418 MAIN ST, MOSS POINT, MS 39563-5102
(228) 474-6111
(225) 474-6113
Mailing address
PO BOX 3590, VICTORIA, TX 77903-3590
(228) 474-6111
(361) 576-4219
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD16489
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121256
—
MS
Enumeration date
12/14/2005
Last updated
05/17/2012
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