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DR. TIMOTHY KEITH BULLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
860 MONTCLAIR RD, SUITE 758, BIRMINGHAM, AL 35213-1923
(205) 930-8020
(205) 930-8024
Mailing address
513 BROOKWOOD BLVD, SUITE 501, BIRMINGHAM, AL 35209-6862
(205) 930-8010
(205) 930-8014

Taxonomy

Speciality
Code
Description
License number
State
193400000X
Single Specialty Group
24255
AL
208600000X
Surgery Physician
Primary
24255
AL

Other

Enumeration date
02/22/2006
Last updated
03/04/2016
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