| Tuckaseegee Family Practice | |
|
315 Wike Cemetery Rd Cullowhee NC 28723-9550 | |
| (828) 293-0503 | |
| Not Available |
| Full Name | Tuckaseegee Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 315 Wike Cemetery Rd, Cullowhee, North Carolina |
| Authorized Official Name and Position | Timothy Lynn Johnston (PHYSICIAN) |
| Authorized Official Contact | 8282930503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuckaseegee Family Practice 315 Wike Cemetery Rd Cullowhee NC 28723-9550 Ph: (828) 293-0503 | Tuckaseegee Family Practice 315 Wike Cemetery Rd Cullowhee NC 28723-9550 Ph: (828) 293-0503 |
| NPI Number | 1770505653 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 07/11/2008 |
| Medicare PECOS PAC ID | 3173525003 |
|---|---|
| Medicare Enrollment ID | O20070206000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770505653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2005-00369 (North Carolina) | Primary |
| Provider Name | Timothy L. Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477521102 PECOS PAC ID: 9739118126 Enrollment ID: I20070206000628 |
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