Timothy Card
Student in an Organized Health Care Education/Training Program in Lithonia, GA. Individual provider (NPI-1).
NPI number1801351366
StatusActive
Last updated in NPPESFeb 8, 2019
Details
- NPI
- 1801351366
- Entity type
- Individual (NPI-1)
- Name
- Timothy Card
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2019
- Last updated
- Feb 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
714 Stonemill MnrLithonia, GA 30058-8228
Phone 770-873-5914
Mailing address
714 Stonemill MnrLithonia, GA 30058-8228
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