Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 37934 | CO |
Y | 207RH0002X | Hospice and Palliative Medicine | 0101265008 | VA |
NPI | 1295720217 |
---|---|
Provider Name | William N Timmins |
First Address | Charlottesville, VA 22909-9007 |
Second Address | Charlottesville, VA 22908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 02/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1295720217 | (05) | VA |
G99770 | (02) | CO |