Individual
DR. TIMOTHY S BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1017 MEDICAL CENTER PKWY, SELMA, AL 36701-6780
(334) 875-2100
(334) 418-6540
Mailing address
1017 MEDICAL CENTER PKWY, SELMA, AL 36701-6780
(334) 875-2100
(334) 418-6540
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00011490
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332100111
—
AL
05
—
332134111
—
AL
01
—
51017797
BCBS OF ALABAMA
AL
Enumeration date
06/15/2006
Last updated
01/30/2012
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