Grant, Timothy M
Grant, Timothy M is an individual health care provider with primary practice located at 777 Hemlock St Msc 159, Macon GA 31201-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Grant, Timothy M can be contacted via phone (866) 507-5244.Contact Information
Primary practice address
777 Hemlock St Msc 159
Macon GA 31201-2102
Phone: (866) 507-5244
Fax: (855) 851-4405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 056061 | Georgia |
Profile Details
| NPI number | 1255491726 |
|---|---|
| LBN Legal business name | Grant, Timothy M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Nov 17th, 2014 - about 10 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 | 1255491726 | NPPES |
| Georgia | MEDICAID | 233480571A | |
| Georgia | Other | P00238255 |
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