Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy Terrell Hubbard, CSA, CST

Individual provider Surgical Physician Assistant · NPI 1780675041

Mr. Timothy Terrell Hubbard, CSA, CST is a Surgical Physician Assistant in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2005

Practice location Address checks out

321 Kirkland Dr
Lawrenceville, GA 30044-2023
Phone: (404) 993-5096
Fax: (678) 442-1158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2663 (GA)

Record details

NPI number1780675041
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA , CST
Sole proprietorYes
NPI enumeratedNovember 4, 2005
Last updated in NPPESJuly 8, 2007

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