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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

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