Tracy M Timony, Md Llc | |
430 S Herlong Ave Rock Hill SC 29732-9446 | |
(803) 324-4008 | |
Not Available |
Full Name | Tracy M Timony, Md Llc |
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Speciality | Internal Medicine |
Location | 430 S Herlong Ave, Rock Hill, South Carolina |
Authorized Official Name and Position | Tracy M Timony (OWNER) |
Authorized Official Contact | 8033244008 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tracy M Timony, Md Llc 430 S Herlong Ave Rock Hill SC 29732-9446 Ph: (803) 324-4008 | Tracy M Timony, Md Llc 430 S Herlong Ave Rock Hill SC 29732-9446 Ph: (803) 324-4008 |
NPI Number | 1528389350 |
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Provider Enumeration Date | 06/16/2010 |
Last Update Date | 08/26/2010 |
Medicare PECOS PAC ID | 5193918985 |
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Medicare Enrollment ID | O20101025001389 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528389350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 15793 (South Carolina) | Primary |
Provider Name | Tracy Timony |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063404945 PECOS PAC ID: 3173716966 Enrollment ID: I20101025001408 |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |