Taylor, Timothy Blake
Taylor, Timothy Blake is an sole proprietor health care provider with primary practice located at 2412 N Oak St , Valdosta GA 31602-2567. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Taylor, Timothy Blake can be contacted via phone (229) 244-1400.Contact Information
Primary practice address
2412 N Oak St
Valdosta GA 31602-2567
Phone: (229) 244-1400
Fax: (229) 244-5512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN235794 | Georgia |
Profile Details
| NPI number | 1356847743 |
|---|---|
| LBN Legal business name | Taylor, Timothy Blake |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2018 |
| Last updated | Apr 4th, 2018 - about 7 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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