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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TOM PATRICK TIMOTHY, PA

Active Sole Proprietor

TOM PATRICK TIMOTHY, PA is a Physician Assistant healthcare provider located in FT LIBERTY, North Carolina. NPI 1699006718 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FT LIBERTY, NC

Registration Details

NPI Number
1699006718
Provider Type
Individual
Gender
Male
NPI Issued
Jan 29, 2010 (16.395874373484 yrs)
Last Updated
Sep 26, 2023
License
PA9104798 (FL)
Sole Proprietor
Yes

Practice Information

Address
2817 ROCK MERRITT AVE
FT LIBERTY, NC, 28308
Browse NC providers · Browse ZIP 28308
Phone
9079100948
Fax
7275396118
Primary Specialty
Physician Assistant
363A00000X
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.