person
Mr. Timothy E Vivian, PA
Medical Physician Assistant in Cookeville, Tennessee
NPI 1679568968

Timothy E Vivian is a Medical Physician Assistant based in Cookeville, TN and is specialized in Medical. Timothy E Vivian practices in Cookeville, TN and has the professional credentials of PA. The NPI Number for Timothy E Vivian is 1679568968 and holds a License No. P0770 (Tennessee).

The current practice location address for Timothy E Vivian is 675 South Jefferson Ave, Cookeville, TN and can be reached out via phone at 931-520-0148 and via fax at 931-520-0152.

Location: 675 South Jefferson Ave, Cookeville, TN, 38501-0949
person
Provider Profile Details
NPI Number
1679568968
Provider Name
Timothy E Vivian
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
675 South Jefferson Ave, Cookeville, TN, 38501-0949
Phone Number
931-520-0148
Fax Number
931-520-0152
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
675 South Jefferson Ave
City
State
Zip
38501-0949
Phone Number
931-520-0148
Fax Number
931-520-0152
person
Provider Business Mailing Address Details
Address
675 South Jefferson Ave
City
State
Zip
38501-0949
Phone Number
931-520-0148
Fax Number
931-520-0152
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
P0770 (Tennessee)
Definition
Definition to come...
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