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
Fax: (404) 292-6305
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 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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