| Doctor Name: | BEVERLY H TIMMONS |
| NPI Number: | 1235111543 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | APN587 |
| Business Practice Address: | 216 E Marion St Kershaw, SC - 290671442 |
| Business Phone Number: | 8034753475 |
| Business Fax Number: | 8034755360 |
| Mailing Address: | Po Box 1259, CAMDEN |
| State: | SC |
| Postal Code: | 290211259 |
| Phone Number: | 8037138350 |
| Fax Number: | 8037138433 |
| NPI Enumeration Date: | 11/14/2005 |
| NPI Last Update Date: | 10/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | APN587 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |