| Doctor Name: | TIMOTHY THOMASON |
| NPI Number: | 1972665370 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 4883909 |
| Business Practice Address: | 190 Community Center Dr. Suite 103 Pigeon Forge, TN - 378636251 |
| Business Phone Number: | 8654464032 |
| Business Fax Number: | 8658684746 |
| Mailing Address: | 190 Community Center Dr., Suite 103 PIGEON FORGE |
| State: | TN |
| Postal Code: | 378636251 |
| Phone Number: | 8654464032 |
| Fax Number: | 8658684746 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 4883909 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |