Provider Demographics
NPI:1336347665
Name:LOVETT, TIMOTHY NEAL (OD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:NEAL
Last Name:LOVETT
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:510 S MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BAXLEY
Mailing Address - State:GA
Mailing Address - Zip Code:31513-0181
Mailing Address - Country:US
Mailing Address - Phone:912-705-2020
Mailing Address - Fax:912-705-2022
Practice Address - Street 1:510 S MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:BAXLEY
Practice Address - State:GA
Practice Address - Zip Code:31513-0181
Practice Address - Country:US
Practice Address - Phone:912-705-2020
Practice Address - Fax:912-705-2022
Is Sole Proprietor?:No
Enumeration Date:2007-07-09
Last Update Date:2013-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAOPT002403152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist