Ozburn, Timothy Neal

Ozburn, Timothy Neal is an individual health care provider with primary practice located at 119 Maple St Ste 205 , Carrollton GA 30117-3259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ozburn, Timothy Neal can be contacted via phone (770) 834-0751.

Contact Information

Primary practice address
119 Maple St Ste 205 Carrollton GA 30117-3259
Fax: (770) 834-0753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 047500 Georgia

Profile Details

NPI number 1508989088
LBN Legal business name Ozburn, Timothy Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Aug 19th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508989088 NPPES
Georgia MEDICAID 367686150A
Georgia Other P00616749

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