Individual
TIMOTHY HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(508) 463-5964
Mailing address
34 ROSEWOOD AVE, ATTLEBORO, MA 02703-5913
(508) 463-5964
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
282909
MA
207P00000X
Emergency Medicine Physician
5101022444
MI
207P00000X
Emergency Medicine Physician
Primary
88101
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2016
Last updated
04/13/2022
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