Dare, Timothy Jay

Dare, Timothy Jay is an individual health care provider with primary practice located at 505 Eisenhower Dr , Savannah GA 31406-2668. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dare, Timothy Jay can be contacted via phone (912) 354-6190.

Contact Information

Primary practice address
505 Eisenhower Dr Savannah GA 31406-2668
Phone: (912) 354-6190
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003559 Georgia

Profile Details

NPI number 1538132857
LBN Legal business name Dare, Timothy Jay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538132857 NPPES
Georgia Other 10448572 NCCPA
Georgia MEDICAID 360301582A NCCPA
Georgia Other 003559 NCCPA

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