Individual provider · Type 1 NPI

Timothy Tyler Moore

Student in an Organized Health Care Education/Training Program · Macon, GA

NPI number 1497586036 Active

Practice location

1550 College St
Macon, GA 31207-1500

Call (478) 301-2600 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497586036

Timothy Tyler Moore's National Provider Identifier is 1497586036, issued on Aug 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Macon, GA. The record was last updated on Aug 13, 2024.