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DAVID ALAN TIMM NPI 1366890238


NPI Information

NPI: 1366890238
Provider Name: DAVID ALAN TIMM

Doing Business As: PEDIATRIC & ADOLESCENT CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 25D0855965

Address:
308 HIGHLAND BLVD
NATCHEZ, MS
ZIP 39120
Phone: (601) 442-7676
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DAVID ALAN TIMM is a rural health clinic center in Natchez, MS. DAVID ALAN TIMM NPI is 1366890238. The provider is registered as an organization entity type.
The provider Is Doing Business As Pediatric & Adolescent Clinic.

The provider's business location address is:

308 HIGHLAND BLVD
NATCHEZ, MS
ZIP 39120-611
Phone: (601) 442-7676

The provider's authorized official is David Alan Timm .
The authorized official title is Owner and has the following contact phone number (601) 442-7676.

The CLIA number assigned to this NPI record is 25D0855965 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/1/2016 and was last updated on 5/10/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural HealthMISSISSIPPIYes

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

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