Provider Demographics
NPI:1225331648
Name:SINGLETARY, TIMOTHY WYMAN (D C)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:WYMAN
Last Name:SINGLETARY
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1971 GA HIGHWAY 122
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31757-2500
Mailing Address - Country:US
Mailing Address - Phone:229-226-3344
Mailing Address - Fax:229-228-0015
Practice Address - Street 1:1971 GA HIGHWAY 122
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31757-2500
Practice Address - Country:US
Practice Address - Phone:229-226-3344
Practice Address - Fax:229-228-0015
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO005373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCDBJMedicare PIN