Doctor Name: | MR. TIMOTHY D TOBITT |
NPI Number: | 1396923199 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPH, FNP-C, CEO |
License Number: | 12888 |
Business Practice Address: | 414 E Broad St Good Health Fmaily Clinic, Inc. Smithville, TN - 37166 |
Business Phone Number: | 6155974432 |
Business Fax Number: | 6155974434 |
Mailing Address: | 414 E Broad St, Good Health Fmaily Clinic, Inc. SMITHVILLE |
State: | TN |
Postal Code: | 37166 |
Phone Number: | 6155974432 |
Fax Number: | 6155974434 |
NPI Enumeration Date: | 02/04/2008 |
NPI Last Update Date: | 06/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 12888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |