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DR. TIMOTHY JAKE PALMER D.O. NPI 1972602357


NPI Information

NPI: 1972602357
Provider Name: DR. TIMOTHY JAKE PALMER, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
120 JACKSON ST STE B
SWAINSBORO, GA
ZIP 30401
Phone: (478) 289-0007
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DR. Timothy Jake Palmer, D.O. is a family medicine in Swainsboro, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Timothy Jake Palmer, D.O. NPI is 1972602357. 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:

120 JACKSON ST STE B
SWAINSBORO, GA
ZIP 30401-159
Phone: (478) 289-0007
Fax: (478) 289-0067

The enumeration date for this NPI number is 9/21/2006 and was last updated on 4/13/2009.


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
1207Q00000XFamily Medicine019739GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP6332MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
2D40796MEDICARE UPINGEORGIA
3000151258KMEDICAIDGEORGIA

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: 5/5/2024
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