Individual
DR. TIMOTHY E SCHWOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1019 W OAKLAND AVE, SUITE 1, JOHNSON CITY, TN 37604
(423) 915-5000
(423) 915-5045
Mailing address
1019 W OAKLAND AVE, SUITE 1, JOHNSON CITY, TN 37604-2357
(423) 915-5000
(423) 915-5045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101038397
VA
207Q00000X
Family Medicine Physician
Primary
16907
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080188264
RR MEDICARE
TN
05
—
1679543623
—
VA
01
—
P00985989
RR MEDICARE
VA
05
—
Q003433
—
RI
Enumeration date
01/24/2006
Last updated
06/04/2018
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