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Search › Tennessee › Medical Physician Assistant

Timothy Vivian, PA

NPI 1679568968 · on the registry since 2005 · sole proprietor

Practice

Address
675 South Jefferson Ave
Cookeville, TN 38501
Phone
(931) 520-0148
Fax
(931) 520-0152
Organisation at this address
Vivian Family Medical Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee