Palmer, Timothy Joseph

Palmer, Timothy Joseph is an individual health care provider with primary practice located at 80 Newnan Station Dr Suite A, Newnan GA 30265-3194. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Palmer, Timothy Joseph can be contacted via phone (770) 251-2060.

Contact Information

Primary practice address
80 Newnan Station Dr Suite A Newnan GA 30265-3194
Phone: (770) 251-2060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704174508 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN242299 Georgia

Profile Details

NPI number 1013984509
LBN Legal business name Palmer, Timothy Joseph
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Feb 4th, 2015 - about 9 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 1013984509 NPPES
Michigan MEDICAID 3034639
Michigan Other 430F364420

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