Individual provider · NPI-1

Dr. Timothy H Camden, MD

Internal Medicine · Mattoon, IL

NPI number1659323327
StatusActive
Last updated in NPPESJun 5, 2012

Details

NPI
1659323327
Entity type
Individual (NPI-1)
Name
Dr. Timothy H Camden
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 17, 2006
Last updated
Jun 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036109079ILYes

Practice location

200 Lerna Rd S
Mattoon, IL 61938-9388

Phone 217-258-5960

Mailing address

200 Lerna Rd S
Mattoon, IL 61938-9388

Phone 217-258-5960

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