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Individual

DR. TIMOTHY PHILIP ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1484
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0968A
BCBS OF NC
NC
01
2280036
UNITED HEALTHCARE OF NC
NC
05
890968A
NC
01
P00041341
RAILROAD MEDICARE
NC
Enumeration date
01/03/2007
Last updated
01/16/2014
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