Timothy M. South is a Family in Kosciusko, Mississippi. Timothy M. South practices all healthcare services and medical treatments related to Family. The NPI Number for Timothy M. South is 1376506741. The last update date is 2012-10-01.
Timothy M. South's current location address is 332 Highway 12 W, Kosciusko, Mississippi. You can contact this provider via phone number 6622891800 and fax number 6622892486. The mailing address for Timothy M. South is 332 Highway 12 W, Kosciusko, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy M. South |
|---|---|
| Address | 332 Highway 12 W, Kosciusko, Mississippi |
| Phone Number | 6622891800 |
| Fax Number | 6622892486 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1376506741 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2012-10-01 |
Provider Mailing Address Detail
| Address | 332 Highway 12 W |
|---|---|
| City | Kosciusko |
| State | Mississippi (MS) |
| Post Code | 390903209 |
| Phone Number | 6622891800 |
| Fax Number | 6622892486 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R701483 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114061 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Timothy M. South by the Centers for Medicare & Medicaid Services?
The Timothy M. South has been issued the NPI (National Provider Identifier) 1376506741 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Timothy M. South?
The Timothy M. South is situated at 332 Highway 12 W, in the city of Kosciusko, state of MS, with the zip code 390903209.
What is Timothy M. South's area of expertise and its corresponding taxonomy classification?
The Timothy M. South's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Timothy M. South receive the assignment of its 1376506741 from the Centers for Medicare & Medicaid Services?
The Timothy M. South was issued its 1376506741 by the Centers for Medicare & Medicaid Services on 2006-04-07.
As of what date was the information pertaining to Timothy M. South, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Timothy M. South, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-10-01.
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