Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | D.0006842-C1 | AL |
NPI | 1083273874 |
---|---|
Provider Name | Dr. Timari Caitlin Schweizer |
First Address | Mc Calla, AL 35111-1195 |
Second Address | Northport, AL 35473-5166 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2019 |
Last Update Date | 11/01/2022 |