Cowthorn, Timothy Neil

Cowthorn, Timothy Neil is an individual health care provider with primary practice located at 3240 Avalon Blvd , Conyers GA 30013-6320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Cowthorn, Timothy Neil can be contacted via phone (770) 860-1133.

Contact Information

Primary practice address
3240 Avalon Blvd Conyers GA 30013-6320
Phone: (770) 860-1133
Fax: (770) 860-1599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 051031 Georgia

Profile Details

NPI number 1285693374
LBN Legal business name Cowthorn, Timothy Neil
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Feb 9th, 2012 - about 13 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 1285693374 NPPES
Georgia MEDICAID 389285461A

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