Individual
MR. TIMOTHY DAVID HOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 AVERITT EXPRESS DRIVE, NASHVILLE, TN 37211
(843) 963-6734
Mailing address
1 AVERITT EXPRESS DRIVE, NASHVILLE, TN 37211
(615) 331-3945
(615) 331-6874
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2328
TN
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041457
NCCPA CERTIFICATE
—
Enumeration date
12/20/2005
Last updated
08/12/2014
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