MEDICARE: DR. TIMOTHY BARTON OSBON MD, MS

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
1	207P00000X	Emergency Medicine Physician	25298	SC
2	207PE0005X	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	25298	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1336179399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY BARTON OSBON MD, MS

Provider Business Mailing Address
First Line	:	1156 BOWMAN RD UNIT 103
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3803
Country	:	US
Telephone Number	:	843-654-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	1156 BOWMAN RD UNIT 103
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3803
Country	:	US
Telephone Number	:	843-654-7337
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	09/30/2014

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