Timothy T Grantham in Valdosta - General Practice
Timothy T Grantham - NPI 1063580181
Timothy T Grantham is a General Practice in Valdosta, Georgia. Timothy T Grantham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy T Grantham is 1063580181. The last update date is 2007-07-08.
Timothy T Grantham's current location address is 103 W Cranford Ave, Valdosta, Georgia. You can contact this provider via phone number 2292490717 and fax number 2292490799. The mailing address for Timothy T Grantham is 103 W Cranford Ave, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy T Grantham |
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Address | 103 W Cranford Ave, Valdosta, Georgia |
Phone Number | 2292490717 |
Fax Number | 2292490799 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1063580181 |
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Provider Enumeration Date | 2006-11-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 103 W Cranford Ave |
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City | Valdosta |
State | Georgia (GA) |
Post Code | 316022930 |
Phone Number | 2292490717 |
Fax Number | 2292490799 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 10547 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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00379871C | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy T Grantham by the Centers for Medicare & Medicaid Services?
The Timothy T Grantham has been issued the NPI (National Provider Identifier) 1063580181, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Timothy T Grantham is physically located?
The Timothy T Grantham is situated at the following address: 103 W Cranford Ave, Valdosta, GA 316022930.
What is Timothy T Grantham's area of expertise and its corresponding taxonomy classification?
The Timothy T Grantham's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Timothy T Grantham receive its 1063580181 assignment from the Centers for Medicare & Medicaid Services?
The Timothy T Grantham was assigned its 1063580181 by the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date were the details related to Timothy T Grantham most recently updated or revised?
The information pertaining to Timothy T Grantham, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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