Provider Demographics
NPI:1902231095
Name:MUNOZ, TIMBER WAGES (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:TIMBER
Middle Name:WAGES
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:2727 PACES FERRY RD SE STE 1-1100
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-6151
Mailing Address - Country:US
Mailing Address - Phone:706-854-6008
Mailing Address - Fax:706-774-7230
Practice Address - Street 1:3515 RICHLAND AVE
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-6311
Practice Address - Country:US
Practice Address - Phone:803-642-2626
Practice Address - Fax:803-642-2960
Is Sole Proprietor?:No
Enumeration Date:2013-09-07
Last Update Date:2024-03-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCPA2149363AM0700X
GA006964363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical