Healthcare Provider Details

I. General information

NPI: 1265433494
Provider Name (Legal Business Name): TIMOTHY ANDREW MCGRAW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 NORTH ST
WATERVILLE ME
04901-4974
US

IV. Provider business mailing address

833 SAINT VINCENTS DR
BIRMINGHAM AL
35205-1606
US

V. Phone/Fax

Practice location:
  • Phone: 207-872-6463
  • Fax:
Mailing address:
  • Phone: 205-933-4640
  • Fax: 205-939-4519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number9412091-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD.35820
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD29295
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: