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Mr. Timothy Jay Dare JR., PA-C
Medical Physician Assistant in Savannah, Georgia
NPI 1538132857

Timothy Jay Dare JR. is a Medical Physician Assistant based in Savannah, GA and is specialized in Medical. Timothy Jay Dare JR. practices in Savannah, GA and has the professional credentials of PA-C. The NPI Number for Timothy Jay Dare JR. is 1538132857 and holds a License No. 003559 (Georgia).

The current practice location address for Timothy Jay Dare JR. is 505 Eisenhower Dr, Savannah, GA and can be reached out via phone at 912-354-6190.

Location: 505 Eisenhower Dr, Savannah, GA, 31406-2668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538132857
Provider Name
Timothy Jay Dare JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
505 Eisenhower Dr, Savannah, GA, 31406-2668
Phone Number
912-354-6190
Fax Number
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10448572 01 GA NCCPA
360301582A 05 GA
003559 01 GA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
505 Eisenhower Dr
City
Savannah
State
Georgia
Zip
31406-2668
Phone Number
912-354-6190
Fax Number
person
Provider Business Mailing Address Details
Address
505 Eisenhower Dr
City
Savannah
State
Georgia
Zip
31406-2668
Phone Number
912-354-6190
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
003559 (Georgia)
Definition
Definition to come...
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