NPI

Timothy Marshall Flack

NPI 1790231223

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PA-C
Type
Individual
Enumeration date
2016-08-25
Last updated
2026-04-03

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Specialties

Licenses

License NC
0010-06646

Location

Practice location
3001 Edwards Mill Rd Ste 200
City
Raleigh NC
Postal code
27612-5243
Phone
(919) 781-5600

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Raleigh, NC. 21,923 records in the public file.

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