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TIMOTHY ALLEN VISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2414 CHAMBLISS AVENUE, CLEVELAND, TN 37320-5030
(423) 472-6581
(423) 472-2425
Mailing address
2414 CHAMBLISS AVE NW, PO BOX 5030, CLEVELAND, TN 37311-3879
(434) 472-6581
(423) 472-2425

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
21512
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3060861
TN
Enumeration date
08/26/2006
Last updated
04/27/2011
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