David Alan Timm

NPI #1710015318 in Vidalia, Louisiana

Provider Information

NPI Number: 1710015318
Entity Type: Organization
Organization Name: David Alan Timm
Primary Specialty: Pediatrics
Enumeration Date: Mar 2, 2007
Last Updated: Dec 9, 2009

Practice Location

Address: 1806 CARTER ST
City: Vidalia
State: Louisiana
ZIP Code: 71373-3115
Phone: (318) 336-7172

Authorized Official

Name: DR. DAVID ALAN TIMM, MD
Title: OWNER
Phone: (601) 442-7676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Nurse Practitioner - Family — Family	363LF0000X

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