Timothy R Thaller, MD

NPI #1407849706 in Statesboro, Georgia

Provider Information

NPI Number
1407849706
Entity Type
Individual
Name
Timothy R Thaller, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Urology
Credential
MD
Enumeration Date
Aug 23, 2005
Last Updated
Mar 15, 2024

Practice Location

Address
614 E GRADY ST
State
Georgia
ZIP Code
30458-2067
Phone
(912) 764-9001

Specialties & Taxonomy Codes

Specialty
Urology

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