Timothy Justin Osborne, M.D.
Emergency Medicine in Vidalia, GA. Individual provider (NPI-1).
NPI number1508090366
StatusActive
Last updated in NPPESMay 15, 2021
Details
- NPI
- 1508090366
- Entity type
- Individual (NPI-1)
- Name
- Timothy Justin Osborne
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 8, 2009
- Certification date
- Apr 22, 2021
- Last updated
- May 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 68085 | GA | Yes |
| 207P00000X | Emergency Medicine | 8325558 | AL |
Practice location
303 Harris Industrial Blvd Ste 5Vidalia, GA 30474-8854
Phone 912-535-7000 · Fax 912-535-7020
Mailing address
619 19th St SBirmingham, AL 35249-1900
Phone 205-934-4794
Other practice locations
619 19th St S
Birmingham, AL 35249-1900
Birmingham, AL 35249-1900
Phone 205-934-4794
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