| Tracy M Timony, Md Llc | |
|
430 S Herlong Ave Rock Hill SC 29732-9446 | |
| (803) 324-4008 | |
| Not Available |
| Full Name | Tracy M Timony, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 430 S Herlong Ave, Rock Hill, South Carolina |
| Authorized Official Name and Position | Tracy M Timony (OWNER) |
| Authorized Official Contact | 8033244008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy M Timony, Md Llc 430 S Herlong Ave Rock Hill SC 29732-9446 Ph: (803) 324-4008 | Tracy M Timony, Md Llc 430 S Herlong Ave Rock Hill SC 29732-9446 Ph: (803) 324-4008 |
| NPI Number | 1528389350 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 08/26/2010 |
| Medicare PECOS PAC ID | 5193918985 |
|---|---|
| Medicare Enrollment ID | O20101025001389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528389350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15793 (South Carolina) | Primary |
| Provider Name | Tracy Timony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063404945 PECOS PAC ID: 3173716966 Enrollment ID: I20101025001408 |
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