Individual
MR. TIMOTHY TERRELL HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.A., C.S.T.
Contact information
Practice address
321 KIRKLAND DR, LAWRENCEVILLE, GA 30044-2023
(404) 993-5096
(678) 442-1158
Mailing address
321 KIRKLAND DR, LAWRENCEVILLE, GA 30044-2023
(404) 993-5096
(678) 442-1158
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2663
GA
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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