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
- City
- Indian Trail
- State
- North Carolina
- ZIP Code
- 28079-0060
- Phone
- (313) 910-3726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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