Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 18325 | AL |
Y | 208600000X | Surgeon | 18325 | AL |
NPI | 1003880485 |
---|---|
Provider Name | Timothy Lee Christopher |
First Address | Birmingham, AL 35243-3404 |
Second Address | Birmingham, AL 35243-3404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 30/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
249236 | (05) | AL |
512-38363 | BCBS (01) | AL |
63-0851248 | MOST COMMERICAL (01) | |
63-1132437 | TRICARE (01) | AL |
G88497 | (02) | AL |