Individual
TIMOTHY LYN HUNSUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1745 PHOENIX BLVD STE 240, COLLEGE PARK, GA 30349-5534
(912) 571-9062
Mailing address
1745 PHOENIX BLVD STE 240, COLLEGE PARK, GA 30349-5534
(912) 571-9062
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
041318
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000711147D
—
GA
Enumeration date
03/18/2007
Last updated
11/08/2021
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