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NPI Code Detail

MEDICARE: TIMOTHY R TOMS DO

MEDICARE:   TIMOTHY R TOMS  DO
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
1207Q00000XFamily Medicine Physician02283KY
2207Q00000XFamily Medicine PhysicianDO.339AL
3207P00000XEmergency Medicine PhysicianDO.339AL

Other Identifiers

General Provider Information

NPI Number : 1831174390
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY R TOMS DO
Provider Business Mailing Address
First Line : PO BOX 10583
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35202-0583
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1815 HAND AVE
Second Line :
City : BAY MINETTE
State : AL
Zip : 36507-4110
Country : US
Telephone Number : 251-937-5521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 08/16/2024

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Directions to “ TIMOTHY R TOMS DO” Practice Location

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