Provider Demographics
NPI:1174047740
Name:FILKINS, TIMOTHY CHRIS
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:CHRIS
Last Name:FILKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 ELECTRIC AVE STE 100D
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-2608
Mailing Address - Country:US
Mailing Address - Phone:706-518-6986
Mailing Address - Fax:855-576-4188
Practice Address - Street 1:1725 ELECTRIC AVE STE 100D
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-2608
Practice Address - Country:US
Practice Address - Phone:706-518-6986
Practice Address - Fax:855-576-4188
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN191137163WG0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice