Individual
ERIC TIMMONS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8964 HABERSHAM DR, JONESBORO, GA 30238-4446
(678) 698-0270
Mailing address
8964 HABERSHAM DR, JONESBORO, GA 30238-4446
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
049691899
GA
Other
Enumeration date
06/07/2013
Last updated
08/15/2013
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