MICHAEL WALTER TIM M.D. NPI 1386667020

NPI Information

NPI: 1386667020
Provider Name: MICHAEL WALTER TIM, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
980 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA
ZIP 30045
Phone: (770) 962-8025
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Michael Walter Tim, M.D. is an adolescent medicine pediatrics in Lawrenceville, GA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Michael Walter Tim, M.D. NPI is 1386667020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

980 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA
ZIP 30045-706
Phone: (770) 962-8025
Fax: (770) 822-1573

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	030391	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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