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Individual

TIMOTHY ALLEN NAUMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
251 WALL ST, PIEDMONT, SC 29673-6754
(864) 597-0159
(863) 685-7676
Mailing address
251 WALL ST, PIEDMONT, SC 29673-6754
(864) 597-0159
(864) 685-7676

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19570
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
19570
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP3368
SC
Enumeration date
07/03/2015
Last updated
10/29/2024
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