Graves, Timothy L
Graves, Timothy L is an individual health care provider with primary practice located at 770 Walnut St , Macon GA 31201-7307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Graves, Timothy L can be contacted via phone (478) 787-4266.Contact Information
Primary practice address
770 Walnut St
Macon GA 31201-7307
Phone: (478) 787-4266
Fax: (478) 787-4199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 026859 | Georgia |
Profile Details
| NPI number | 1245225572 |
|---|---|
| LBN Legal business name | Graves, Timothy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | May 28th, 2015 - 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 | 1245225572 | NPPES |
| Georgia | MEDICAID | 000324277L |
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