institution
David Alan Timm
Rural Health Clinic/Center in Vidalia, Louisiana
NPI 1407025711

David Alan Timm is a Rural Health Clinic/Center based in Natchez, LA and is specialized in Rural Health. David Alan Timm practices in Vidalia, LA. The NPI Number for David Alan Timm is 1407025711 and holds a License No. (Louisiana).

The current practice location address for David Alan Timm is 1806 Carter Street, Vidalia, LA and can be reached out via phone at 318-336-7172 and via fax at 318-336-7172.

Location: 1806 Carter Street, Vidalia, LA, 39120-4611
institution
Provider Profile Details
NPI Number
1407025711
Provider Name
David Alan Timm
Credential
Provider Entity Type
Organization
Address
1806 Carter Street, Vidalia, LA, 39120-4611
Phone Number
318-336-7172
Fax Number
318-336-7172
Provider Enumeration Date
02/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1021849 05 LA
institution
Provider Business Practice Location Address Details
Address
1806 Carter Street
City
State
Zip
71373-3115
Phone Number
318-336-7172
Fax Number
318-336-7172
person
Provider Business Mailing Address Details
Address
1806 Carter Street
City
State
Zip
71373-3115
Phone Number
318-336-7172
Fax Number
318-336-7172
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
(Louisiana)
Definition
Definition to come...
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