Individual
TIMOTHY CLIFFTON SORRELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NAVAL HOSPITAL 100 BREWSTER BLVD, LABORATORY DEPARTMENT, CAMP LEJEUNE, NC 28547
(910) 450-3366
Mailing address
NAVAL HOSPITAL 100 BREWSTER BLVD, LABORATORY DEPARTMENT, CAMP LEJEUNE, NC 28547
(910) 459-3366
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
14825
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
14825
AL
Other
Enumeration date
01/20/2006
Last updated
01/07/2010
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