IndividualActive
Gregory Timberlake, MD
NPI 1730260613 · Surgical Critical Care Physician · Jackson, MS
Provider details
- NPI number
- 1730260613
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 17108 (MS)
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Fax: (601) 815-4570
Mailing address
Po Box 3287
Jackson, MS 39207-3287
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2013-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.