Timothy Tisdale, PA-C

NPI #1770172785 in Fairhope, Alabama

Provider Information

NPI Number
1770172785
Entity Type
Individual
Name
Timothy Tisdale, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jan 13, 2021
Last Updated
Sep 11, 2023

Practice Location

Address
188 HOSPITAL DR STE 100
State
Alabama
ZIP Code
36532-2038
Phone
(251) 607-9797

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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