Timmy Jay Agan M.S., A.T.,C.

NPI 1225229156 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1225229156
Gender Male
Enumeration Date 08/06/2007
Last Updated 08/06/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
306 REHOBOTH RD SW
CAVE SPRING GA, 30124-2974, US
Phone (770) 877-1016
Fax (770) 382-8883
Business Location
306 REHOBOTH RD SW
CAVE SPRING GA, 30124-2974, US
Phone (770) 877-1016
Fax (770) 382-8883
Toxanomy
Taxonomy Code 2255A2300X
License State Georgia
License Number 000077
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According to our database, Mr. Timmy Jay Agan M.S., A.T.,C. NPI is 1225229156, taxonomy code is 2255A2300X and license number is 000077, license state is located at Georgia. Timmy Jay Agan M.S., A.T.,C. physically located at 306 Rehoboth Rd Sw, Cave Spring GA, 30124-2974. NPI Number Timmy Jay Agan M.S., A.T.,C. has the Individual type.

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1225229156 NPI number is provided on an as is basis without warranty of any kind. 1225229156 is maintained by the National Plan & Provider Enumeration System. The contents of Timmy Jay Agan M.S., A.T.,C. are for informational purposes only.