Individual
TIMOTHY N TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
404 LAKEVIEW LN, HIRAM, GA 30141-4426
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3175
GA
Other
Enumeration date
03/20/2008
Last updated
02/11/2022
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