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1447749049
TIMOTHY ANTHONY SCULLY
AUGUSTA, GA
NPI
1447749049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 88311)
Enumeration Date
2018-05-09
Last Update Date
2021-05-11
Business Address
TIMOTHY ANTHONY SCULLY DO
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-8623
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Mailing Address
TIMOTHY ANTHONY SCULLY DO
1120 15TH ST STE BI1056
AUGUSTA, GA 30912-0004
Phone number:
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