Individual
TIMOTHY CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 2ND AVNEUE S, BDB 563, BIRMINGHAM, AL 35294-0012
(205) 934-9767
(205) 934-3993
Mailing address
1300 27TH PL S, APT. 14, BIRMINGHAM, AL 35205-2567
(205) 934-9767
(205) 934-3993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L3980F
AL
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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