Healthcare Provider Details

I. General information

NPI: 1922014976
Provider Name (Legal Business Name): TIMOTHY NORMAN BAXTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 N MCKENZIE ST STE 200
FOLEY AL
36535-4700
US

IV. Provider business mailing address

PO BOX 689022
FRANKLIN TN
37068-9022
US

V. Phone/Fax

Practice location:
  • Phone: 251-424-1232
  • Fax: 251-424-1954
Mailing address:
  • Phone: 615-465-7390
  • Fax: 615-628-6877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number176697
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.50164
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: