Individual
DR. TIMOTHY ALEXANDER TOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 E MAIN ST, SUITE 202, ELIZABETH CITY, NC 27909-4495
(252) 338-0373
(252) 338-0073
Mailing address
410 E MAIN ST, SUITE 202, ELIZABETH CITY, NC 27909-4495
(252) 338-0373
(252) 338-0073
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
94-00660
NC
207KA0200X
Allergy Physician
94-00660
NC
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
94-00660
NC
2080P0201X
Pediatric Allergy/Immunology Physician
94-00660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6983580
—
NC
Enumeration date
12/15/2005
Last updated
08/13/2012
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