Dr. Timothy Allen Podesta, M.D.
Internal Medicine in Dublin, GA. Individual provider (NPI-1).
NPI number1871024802
StatusActive
Last updated in NPPESMar 16, 2021
Details
- NPI
- 1871024802
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Allen Podesta
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2017
- Certification date
- Mar 16, 2021
- Last updated
- Mar 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 86347 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
200 Industrial BlvdDublin, GA 31021-2981
Phone 478-274-2000
Mailing address
200 Industrial BlvdDublin, GA 31021-2997
Phone 478-751-0181
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