Search › Georgia › 1223G0001X
Timothy Fagan, DMD
NPI 1871754614 · on the registry since 2008 · sole proprietor
Practice
- Address
- 7 Long Leaf Office Park
Moultrie, GA 31768 - Phone
- (229) 985-4674
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-24
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 Georgia