Flynn, Timothy R.
Flynn, Timothy R. is an individual health care provider with primary practice located at 2124 Candler Rd , Decatur GA 30032-5572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Flynn, Timothy R. can be contacted via phone (404) 836-0272.Contact Information
Primary practice address
2124 Candler Rd
Decatur GA 30032-5572
Phone: (404) 836-0272
Fax: (404) 666-0038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 041795 | Georgia |
Profile Details
| NPI number | 1285626614 |
|---|---|
| LBN Legal business name | Flynn, Timothy R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Feb 11th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285626614 | NPPES |
| Georgia | MEDICAID | 00709354D |
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