Simon, Timothy
Simon, Timothy is an individual health care provider with primary practice located at 2801 N Decatur Rd Suite 120, Decatur GA 30033-5949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Simon, Timothy can be contacted via phone (770) 277-4277.Contact Information
Primary practice address
2801 N Decatur Rd Suite 120
Decatur GA 30033-5949
Phone: (770) 277-4277
Fax: (404) 292-6305
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 040846 | Georgia |
Profile Details
NPI number | 1609824416 |
---|---|
LBN Legal business name | Simon, Timothy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Feb 26th, 2021 - about 4 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 | 1609824416 | NPPES |
Other | 1700465 | UNITED HEALTHCARE | |
Other | 4608346001 | UNITED HEALTHCARE | |
MEDICAID | 00947086A | UNITED HEALTHCARE | |
Other | 2969776 | UNITED HEALTHCARE | |
Other | 7375431 | UNITED HEALTHCARE | |
Other | 10556 | UNITED HEALTHCARE | |
Other | 52439381 | UNITED HEALTHCARE |
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