Individual
MR. MONTGOMERY RICKS TIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 EISENHOWER DR, #3, SAVANNAH, GA 31406
(912) 354-2104
(912) 351-0598
Mailing address
310 EISENHOWER DR, #3, SAVANNAH, GA 31406
(912) 354-2104
(912) 351-0598
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22899
GA
208600000X
Surgery Physician
27726
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00279452B
—
GA
Enumeration date
02/15/2006
Last updated
08/09/2010
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