Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 2021-00392 | NC |
NPI | 1215468772 |
---|---|
Provider Name | Douglas Bruce Timmons JR. |
First Address | Morrisville, NC 27560-5491 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2017 |
Last Update Date | 15/11/2021 |