Individual
DR. TIMOTHY JOHN DALTON
Active
Individual
DR. TIMOTHY JOHN DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9500876
NC
207R00000X
Internal Medicine Physician
Primary
95-00876
NC
208000000X
Pediatrics Physician
95-00876
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402121
UNITED HEALTHCARE
—
01
—
10526
PARTNERS
—
01
—
110113235
RAILROAD MEDICARE
—
01
—
2624358
AETNA HMO OPOS
—
01
—
26793
BCBS
—
01
—
287316
MAMSI
—
01
—
410250659
CHAMPUS
—
01
—
5592041
AETNA PPO POS
—
01
—
58523
MEDCOST
—
05
—
8926793
—
NC
Enumeration date
05/27/2005
Last updated
10/28/2020
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