Individual
DANIELLE ALICIA TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3527 MEMORIAL DR UNIT W, DECATUR, GA 30032-2731
(404) 573-4844
(415) 252-7176
Mailing address
3527 MEMORIAL DR UNIT W, DECATUR, GA 30032-2731
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
89846
GA
390200000X
Student in an Organized Health Care Education/Training Program
051142653
GA
Other
Enumeration date
04/09/2017
Last updated
04/18/2025
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