Timothy Ryan Tiberia

NPI #1114518818 in Indian Trail, North Carolina

Provider Information

NPI Number
1114518818
Entity Type
Individual
Name
Timothy Ryan Tiberia
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Enumeration Date
Jan 27, 2021
Last Updated
May 6, 2022

Practice Location

Address
3039 GLENN VALLEY LN APT 306
ZIP Code
28079-0060
Phone
(313) 910-3726

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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