Individual
DR. TIMOTHY JAKE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 JACKSON ST STE B, SWAINSBORO, GA 30401-3159
(478) 289-0007
(478) 289-0067
Mailing address
120 JACKSON ST STE B, PO BOX 766, SWAINSBORO, GA 30401-3159
(478) 289-0007
(478) 289-0067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019739
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000151258K
—
GA
Enumeration date
09/21/2006
Last updated
04/13/2009
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