Agan, Timmy Jay

Agan, Timmy Jay is an individual health care provider with primary practice located at 306 Rehoboth Rd Sw , Cave Spring GA 30124-2974. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Agan, Timmy Jay can be contacted via phone (770) 877-1016.

Contact Information

Primary practice address
306 Rehoboth Rd Sw Cave Spring GA 30124-2974
Phone: (770) 877-1016
Fax: (770) 382-8883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 000077 Georgia

Profile Details

NPI number 1225229156
LBN Legal business name Agan, Timmy Jay
Credentials M.S., A.T.,C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Aug 6th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225229156 NPPES
Georgia Other 0000077 GEORGIA BOARD OF ATHLETIC

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