Individual
PHILLIP MARK TIMCHECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
124 E GATE CITY BLVD, GREENSBORO, NC 27406-1457
(336) 553-6083
Mailing address
418 RYDER CUP LN, CLEMMONS, NC 27012-9763
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
294093
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
7558
NC
Other
Enumeration date
02/14/2023
Last updated
09/16/2024
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