Individual
TIMOTHY RYAN DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1131C N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 832-7867
(336) 832-7869
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
(336) 832-7869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200400665
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
200400665
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902872
—
NC
Enumeration date
06/16/2006
Last updated
09/27/2021
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