Individual provider · Type 1 NPI

Timothy E. Vivian, PA

Medical Physician Assistant · Cookeville, TN

NPI number 1679568968 Active

Practice location

675 South Jefferson Ave
Cookeville, TN 38501-0949

Call (931) 520-0148 Map

Fax (931) 520-0152

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XP0770 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1679568968

Timothy E. Vivian, PA's National Provider Identifier is 1679568968, issued on Sep 13, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cookeville, TN. The record was last updated on Jun 20, 2012.