Tisdale, Timothy

Tisdale, Timothy is an individual health care provider with primary practice located at 188 Hospital Dr Ste 100 , Fairhope AL 36532-2038. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tisdale, Timothy can be contacted via phone (251) 607-9797.

Contact Information

Primary practice address
188 Hospital Dr Ste 100 Fairhope AL 36532-2038
Phone: (251) 607-9797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.1693 Alabama

Profile Details

NPI number 1770172785
LBN Legal business name Tisdale, Timothy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2021
Last updated Sep 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers