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

Wallace Angus Timms

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174153696

Wallace Angus Timms is a Student in an Organized Health Care Education/Training Program in Wetumpka, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2020

Practice location Address checks out

1155 Marshell Rd
Wetumpka, AL 36093-3527
Phone: (334) 322-0851
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence S12687 (AL)

Record details

NPI number1174153696
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 23, 2020
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address1155 Marshell Rd, Wetumpka, AL 36093-3527

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