Individual provider · NPI-1

Timmy Deoncay Collier Jr.

Family Medicine · Hyattsville, MD

NPI number1659218931
StatusActive
Last updated in NPPESMay 4, 2026

Details

NPI
1659218931
Entity type
Individual (NPI-1)
Name
Timmy Deoncay Collier Jr.
Sex
Male
Sole proprietor
No
Enumeration date
May 4, 2026
Certification date
May 3, 2026
Last updated
May 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2018001016MOYes

Practice location

7606 Quinn Spring Ct
Hyattsville, MD 20783-2200

Phone 301-295-9004

Mailing address

7606 Quinn Spring Ct
Hyattsville, MD 20783-2200

Phone 573-855-9998

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