Female

Mrs. Nikol D. Timmons PHYSICIAN ASSISTANT

Physician Assistant in Matthews, NC(View on Map)

Full Name

Mrs. Nikol Deem Timmons PHYSICIAN ASSISTANT

NPI Number

1194801001

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/31/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

101627

Contact
Information

Purpose

Mailing
Location

Address

816 GREENBRIDGE DR
1207 CREWS RD STE E

City

Matthews
Matthews

State

NC
NC

Postal Code

28105-6952
28105-7582

Country

US
US

Telephone Number

(704) 293-6721
(704) 841-8162

Identifiers

Identifier

8101457

Identifier State

NC

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/01/2020

Provider Address

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