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MR. TIMOTHY TERRELL HUBBARD C.S.A., C.S.T.
NPI 1780675041
Physician Assistant - Surgical in Lawrenceville, GA

Active since November 04, 2005
321 KIRKLAND DR, LAWRENCEVILLE, GA 30044(404) 993-5096(678) 442-1158 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Timothy Terrell Hubbard C.s.a., C.s.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY TERRELL HUBBARD C.S.A., C.S.T. (NPI 1780675041) is an individual surgical provider in Lawrenceville, Georgia, licensed in Georgia (2663) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1780675041
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. TIMOTHY TERRELL HUBBARDCredential: C.S.A., C.S.T.
Location Address321 KIRKLAND DRLawrenceville, GA 30044-2023
Mailing Address321 Kirkland DrLawrenceville, GA 30044-2023 · (404) 993-5096 · Fax (678) 442-1158
Phone(404) 993-5096
Fax(678) 442-1158
Sole ProprietorYes
Enumeration DateNovember 4, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780675041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 2663
321 KIRKLAND DR, Lawrenceville, GA 30044
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Hubbard's NPI number?

The NPI number for Timothy Hubbard is 1780675041. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Timothy Hubbard located?

Timothy Hubbard practices at 321 Kirkland Dr, Lawrenceville, GA 30044. The listed phone number is (404) 993-5096.

What is Timothy Hubbard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Timothy Hubbard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.