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

TIMOTHY DWIGHT EDMISTEN, MD

Active Sole Proprietor

General Surgery · BOONE, NC

Registration Details

NPI Number
1780679357
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2005 (20.627385389573 yrs)
Last Updated
Mar 10, 2023
Licenses
9800856 (NC)
9800856 (NC)
9800856 (NC)
Sole Proprietor
Yes

Practice Information

Address
965 STATE FARM RD
BOONE, NC, 286074948
Browse NC providers · Browse ZIP 28607
Phone
8282642340
Fax
8282620731
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery

Other General Surgery Providers in BOONE, NC

Name Credential NPI
PAUL SAMI DAGHER MD 1871588434
DR. ANNE-CORINNE BEAVER M.D. 1356445761
LIONEL VAN DER WESTHUIZEN M.D. 1306057500
DR. RICHARD WARREN FURMAN MD 1528327079
VALERIE DOGGETT PURCELL M.D. 1881954782
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.