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MR. TIMOTHY MARSHALL FLACK, PA-C

Active

MR. TIMOTHY MARSHALL FLACK, PA-C is a Physician Assistant healthcare provider located in FUQUAY VARINA, North Carolina. NPI 1790231223 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FUQUAY VARINA, NC

Registration Details

NPI Number
1790231223
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2016 (9.973540712289 yrs)
Last Updated
Sep 9, 2020
Licenses
0010-06646 (NC)
0010-06646 (NC)

Practice Information

Address
1617 N MAIN ST
FUQUAY VARINA, NC, 275269021
Browse NC providers · Browse ZIP 27526
Phone
9842156595
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FUQUAY VARINA, NC

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.