Timothy Street
Specialty details in registry · Elizabethton, TN
At a glance
204 Old Siam Rd, Elizabethton, TN 37643
NPPES record updated Aug 6, 2008. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
204 Old Siam RdElizabethton, TN 37643
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 172A00000X
- Enumeration date
- Apr 26, 2007
- Record updated
- Aug 6, 2008
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
172A00000X · Primary
License reported: 052488290 TN
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
204 Old Siam RdElizabethton, TN 37643
- Phone
- (423) 895-0425
- Fax
- (423) 543-7707
Mailing address
204 OLD SIAM RDELIZABETHTON, TN 37643
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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