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Wallace Angus Timms
Student in an Organized Health Care Education/Training Program in Wetumpka, Alabama
NPI 1174153696

Wallace Angus Timms is a Student in an Organized Health Care Education/Training Program based in Wetumpka, AL. Wallace Angus Timms practices in Wetumpka, AL. The NPI Number for Wallace Angus Timms is 1174153696 and holds a License No. S12687 (Alabama).

The current practice location address for Wallace Angus Timms is 1155 Marshell Rd, Wetumpka, AL and can be reached out via phone at 334-322-0851.

Location: 1155 Marshell Rd, Wetumpka, AL, 36093-3527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174153696
Provider Name
Wallace Angus Timms
Credential
Provider Entity Type
Individual
Gender
Male
Address
1155 Marshell Rd, Wetumpka, AL, 36093-3527
Phone Number
334-322-0851
Fax Number
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1155 Marshell Rd
City
Wetumpka
State
Alabama
Zip
36093-3527
Phone Number
334-322-0851
Fax Number
person
Provider Business Mailing Address Details
Address
1155 Marshell Rd
City
Wetumpka
State
Alabama
Zip
36093-3527
Phone Number
334-322-0851
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S12687 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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