Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY RYAN TIBERIA
Active Sole ProprietorPhysician Assistant · INDIAN TRAIL, NC
Registration Details
- NPI Number
- 1114518818
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2021 (5.2822665644211 yrs)
- Last Updated
- May 6, 2022
- License
-
C0008402 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3039 GLENN VALLEY LN APT 306INDIAN TRAIL, NC, 280790060Browse NC providers · Browse ZIP 28079
- Phone
- 3139103726
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in INDIAN TRAIL, NC
| Name | Credential | NPI |
|---|---|---|
| REGINA RUMLEY FORSYTH | PA | 1528231149 |
| MALEAH DEAN SIMPSON-MEEK | PA-C | 1710147319 |
| NICOLE CURCIO OLIVER | PA | 1811143662 |
| MR. JOSHUA WILSON | PA | 1770713133 |
| ZACHARY BETTERS | PA | 1841579588 |
| SARA ROWELL CLAY | PA | 1881052553 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.