Palmer, Timothy Jake
Palmer, Timothy Jake is an sole proprietor health care provider with primary practice located at 120 Jackson St Ste B , Swainsboro GA 30401-3159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Palmer, Timothy Jake can be contacted via phone (478) 289-0007.Contact Information
Primary practice address
120 Jackson St Ste B
Swainsboro GA 30401-3159
Phone: (478) 289-0007
Fax: (478) 289-0067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 019739 | Georgia |
Profile Details
| NPI number | 1972602357 |
|---|---|
| LBN Legal business name | Palmer, Timothy Jake |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Apr 13th, 2009 - about 17 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 | 1972602357 | NPPES |
| Georgia | MEDICAID | 000151258K |
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