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Mr. Timothy Sutton Ochs
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NPI Number Detailed Information
Provider Information:
| Name: | Mr. Timothy Sutton Ochs |
| Gender: | M |
| Provider License Number If Given: | 130201 |
NPI Information:
| NPI: | 1114920105 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 3/11/2008 |
Provider Business Mailing Address:
| Address: | PO BOX 965 Harriman, TN 37748 |
| Phone Number: | 8655900933 |
| Fax Number: | 8655900933 |
Provider Business Practice Location Address:
| Address: | 1236 KNOXVILLE HWY Wartburg, TN 37887 |
| Phone Number: | 4233466556 |
| Fax Number: | 4233467541 |
Provider Taxonomy:
| Primary: | 367500000X |
| Secondary (if any): | 367500000X |
| State: | TN |
