Individual
MR. TIMOTHY E VIVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
675 SOUTH JEFFERSON AVE, COOKEVILLE, TN 38501-0949
(931) 520-0148
(931) 520-0152
Mailing address
675 SOUTH JEFFERSON AVE, COOKEVILLE, TN 38501-0949
(931) 520-0148
(931) 520-0152
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
P0770
TN
Other
Enumeration date
09/13/2005
Last updated
06/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us