Mcintire, Timothy L
Mcintire, Timothy L is an individual health care provider with primary practice located at 3011 Hampton Ave Suite 200, Brunswick GA 31520-4264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Mcintire, Timothy L can be contacted via phone (912) 261-2669.Contact Information
Primary practice address
3011 Hampton Ave Suite 200
Brunswick GA 31520-4264
Phone: (912) 261-2669
Fax: (912) 261-0561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 026795 | Georgia |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 026795 | Georgia |
Profile Details
| NPI number | 1578637542 |
|---|---|
| LBN Legal business name | Mcintire, Timothy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | May 20th, 2008 - about 18 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 | 1578637542 | NPPES |
| Georgia | MEDICAID | 862381993A | |
| Georgia | Other | 969400 |
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