Timmons, Beverly H

Timmons, Beverly H is an individual health care provider with primary practice located at 216 E Marion St , Kershaw SC 29067-1442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Timmons, Beverly H can be contacted via phone (803) 475-3475.

Contact Information

Primary practice address
216 E Marion St Kershaw SC 29067-1442
Phone: (803) 475-3475
Fax: (803) 475-5360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN587 South Carolina

Profile Details

NPI number 1235111543
LBN Legal business name Timmons, Beverly H
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Oct 10th, 2007 - about 19 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 1235111543 NPPES
South Carolina MEDICAID NP0177

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