Healthcare Provider Details

I. General information

NPI: 1700875606
Provider Name (Legal Business Name): TIMOTHY M CURLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 02/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MEDICAL PKWY SUITE 222
CHESAPEAKE VA
23320-4985
US

IV. Provider business mailing address

6160 KEMPSVILLE CIR SUITE 302A
NORFOLK VA
23502-3933
US

V. Phone/Fax

Practice location:
  • Phone: 757-436-5544
  • Fax: 757-436-7323
Mailing address:
  • Phone: 757-466-9288
  • Fax: 757-466-8954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0101235991
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: