TIMOTHY BLAKE DUVALL

CHARLOTTE, NC
NPI1972973048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-06004)
Enumeration Date2015-10-01
Last Update Date2024-07-15
Business Address
TIMOTHY BLAKE DUVALL PA
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-2171
Mailing Address
TIMOTHY BLAKE DUVALL PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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