Fitzgerald, Timothy David

Fitzgerald, Timothy David is an sole proprietor health care provider with primary practice located at 902 N 7Th St , Cordele GA 31015-3234. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fitzgerald, Timothy David can be contacted via phone (229) 276-3100.

Contact Information

Primary practice address
902 N 7Th St Cordele GA 31015-3234
Phone: (229) 276-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN193624 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9326204 Florida

Profile Details

NPI number 1972058071
LBN Legal business name Fitzgerald, Timothy David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2016
Last updated Mar 5th, 2021 - about 4 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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