Baird, Kim Timmerman
Baird, Kim Timmerman is an individual health care provider with primary practice located at 308 Bedell Ave , Woodbine GA 31569-0307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baird, Kim Timmerman can be contacted via phone (912) 576-5999.Contact Information
Primary practice address
308 Bedell Ave
Woodbine GA 31569-0307
Phone: (912) 576-5999
Fax: (912) 576-5888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R051587 | Georgia |
Profile Details
| NPI number | 1790755585 |
|---|---|
| LBN Legal business name | Baird, Kim Timmerman |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Sep 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790755585 | NPPES |
| Georgia | MEDICAID | 00632673D |
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