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NPI Code Detail

MEDICARE: DR. TIMOTHY QUINN RUSHING DMD

MEDICARE: DR. TIMOTHY QUINN RUSHING DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry11018GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215073531
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY QUINN RUSHING DMD
Provider Business Mailing Address
First Line : 1400 DUG GAP RD
Second Line :
City : DALTON
State : GA
Zip : 30720-5007
Country : US
Telephone Number : 706-275-9575
Fax Number : 706-272-3895
Provider Business Practice Location Address
First Line : 1400 DUG GAP RD
Second Line :
City : DALTON
State : GA
Zip : 30720-5007
Country : US
Telephone Number : 706-275-9575
Fax Number : 706-272-3895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/09/2007

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