Flack, Timothy Marshall

Flack, Timothy Marshall is an individual health care provider with primary practice located at 1617 N Main St , Fuquay Varina NC 27526-9021. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Flack, Timothy Marshall can be contacted via phone (984) 215-6595.

Contact Information

Primary practice address
1617 N Main St Fuquay Varina NC 27526-9021
Phone: (984) 215-6595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-06646 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-06646 North Carolina

Profile Details

NPI number 1790231223
LBN Legal business name Flack, Timothy Marshall
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2016
Last updated Sep 9th, 2020 - 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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