Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY E VIVIAN, PA
Active Sole ProprietorMR. TIMOTHY E VIVIAN, PA is a Medical Physician Assistant healthcare provider located in COOKEVILLE, Tennessee. NPI 1679568968 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · COOKEVILLE, TN
Registration Details
- NPI Number
- 1679568968
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2005 (20.876442391521 yrs)
- Last Updated
- Jun 20, 2012
- License
-
P0770 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
675 SOUTH JEFFERSON AVECOOKEVILLE, TN, 385010949Browse TN providers · Browse ZIP 38501
- Phone
- 9315200148
- Fax
- 9315200152
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in COOKEVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH GAIL CICUTTO | P.A. | 1356307417 |
| GENE DEWAYNE ADAMS | PA | 1508961301 |
| JAMES M VANCE | PA | 1144317801 |
| MRS. LACIE DILLON | PA-C | 1083033195 |
| BRADLEY MAXWELL | PA-C | 1912301771 |
| APRIL DANIELLE LOOPER | PA-C | 1609225556 |
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.