Provider Demographics
NPI:1528173432
Name:DINDOFFER, TIMOTHY CARL (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:CARL
Last Name:DINDOFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1107 MEMORIAL DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8662
Mailing Address - Country:US
Mailing Address - Phone:706-271-0076
Mailing Address - Fax:706-271-0086
Practice Address - Street 1:1107 MEMORIAL DR
Practice Address - Street 2:SUITE 301
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8662
Practice Address - Country:US
Practice Address - Phone:706-271-0076
Practice Address - Fax:706-271-0086
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2010-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA042812207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA582369659OtherPRIVATE INS COMPANIES
GA00728758BMedicaid
GA00728758BMedicaid