NPI 1104868231

Timothy Alan Prescott, PAC

Practitioner Physician Assistant Princeton, WV

Practice location

Address: 122 12th Street Ext Princeton Community Hospital, Princeton, WV 24740-2352
Phone: (304) 487-7275
Fax: (304) 487-7153
Mailing address: 112 12th St, Princeton, WV 24740-2312

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 934 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1104868231
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2006
Record last updated: 20 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.