Individual
TIMOTHY CHRISTOPHER COLGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COF
Contact information
Practice address
1 PJS PL, HENDERSONVILLE, NC 28792-7204
(828) 651-4992
(828) 651-4993
Mailing address
161 FAIRMONT RD, CANDLER, NC 28715-9010
(828) 651-4992
(828) 651-4993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CFO03553
COF
NC
Enumeration date
01/04/2011
Last updated
01/04/2011
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