| David Alan Timm | |
|
1806 Carter Street Vidalia LA 71373-3115 | |
| (318) 336-7172 | |
| (318) 336-7172 |
| Full Name | David Alan Timm |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1806 Carter Street, Vidalia, Louisiana |
| Authorized Official Name and Position | Stephanie P Rife (BUSINESS MGR) |
| Authorized Official Contact | 6014427676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Alan Timm 308 Highland Blvd Natchez MS 39120-4611 Ph: (601) 442-7676 | David Alan Timm 1806 Carter Street Vidalia LA 71373-3115 Ph: (318) 336-7172 |
| NPI Number | 1407025711 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 12/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407025711 | NPI | - | NPPES |
| 1021849 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
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