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Timothy Taylor Hobbes Fetterman

Nurse Anesthetist, Certified Registered in Greenville, SC. Individual provider (NPI-1).

NPI number1649809088
StatusActive
Last updated in NPPESJan 7, 2022

Details

NPI
1649809088
Entity type
Individual (NPI-1)
Name
Timothy Taylor Hobbes Fetterman
Sex
Male
Sole proprietor
No
Enumeration date
Apr 7, 2020
Certification date
Jan 7, 2022
Last updated
Jan 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered23934SCYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

701 Grove Rd
Greenville, SC 29605-4210

Phone 864-455-3076

Mailing address

300 E McBee Ave Fl 4
Greenville, SC 29601-2842

Phone 864-797-6220

Other practice locations

7 Independence Pt Ste 300
Greenville, SC 29615-4569

Phone 864-522-3700 · Fax 864-522-3705

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