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NPI Code Detail

MEDICARE: DR. TIMOTHY PHILIP NOONAN D.O.

MEDICARE: DR. TIMOTHY PHILIP NOONAN D.O.
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
1207RI0200XInfectious Disease Physician4428TN

General Provider Information

NPI Number : 1366893133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY PHILIP NOONAN D.O.
Provider Business Mailing Address
First Line : 3024 BUSINESS PARK CIR
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-3132
Country : US
Telephone Number : 615-239-2018
Fax Number :
Provider Business Practice Location Address
First Line : 3441 DICKERSON PIKE STE 330
Second Line :
City : NASHVILLE
State : TN
Zip : 37207-2539
Country : US
Telephone Number : 615-769-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2016
Last Update Date : 04/21/2026

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