Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 059381 | GA |
Y | 207RX0202X | Medical Oncology | 059381 | GA |
NPI | 1174725345 |
---|---|
Provider Name | Timothy Mitch Carey |
First Address | Gainesville, GA 30503-0658 |
Second Address | Gainesville, GA 30501-3834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 16/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01054267 | AMERIGROUP (01) | GA |
2789720 | UHC (01) | GA |
391141 | WELLCARE (01) | GA |
4660355 | CIGNA (01) | |
52205947 | BCBS (01) | GA |
880605214A | (05) | GA |
880605214A | PEACH STATE (01) | GA |
9474371 | MULTIPLAN (01) | GA |
9929041 | AETNA (01) | GA |
P00447452 | MEDICARE RAILROAD (01) | GA |