MEDICARE: DR. TIMOTHY ANDREW MCGRAW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	9412091-1205	UT
2	207N00000X	Dermatology Physician	MD29295	ME
3	207N00000X	Dermatology Physician	MD.35820	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	512-00033	OTHER	AL	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1265433494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY ANDREW MCGRAW M.D.

Provider Business Mailing Address
First Line	:	833 SAINT VINCENTS DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1606
Country	:	US
Telephone Number	:	205-933-4640
Fax Number	:	205-939-4519

Provider Business Practice Location Address
First Line	:	833 SAINT VINCENTS DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1606
Country	:	US
Telephone Number	:	205-933-4640
Fax Number	:	205-939-4519

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	05/14/2025

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Directions to “ DR. TIMOTHY ANDREW MCGRAW M.D.” Practice Location

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