Individual
TIMOTHY PETERS
Active
Individual
TIMOTHY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
MD31615
TN
2080P0208X
Pediatric Infectious Diseases Physician
Primary
2007-00114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145YK
BCBS
—
01
—
196290
MEDCOST
—
05
—
3810008320
—
WV
05
—
5906322
—
NC
01
—
7093512
AETNA
—
01
—
810655
PARTNERS
—
05
—
Q00114
—
SC
Enumeration date
10/09/2006
Last updated
01/18/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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