Individual
TIMOTHY BRET TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1699 GOLDEN SPRINGS RD, ANNISTON, AL 36207-7097
(256) 835-0835
(256) 835-1939
Mailing address
820 S 4TH ST, GADSDEN, AL 35901-5223
(256) 549-0008
(256) 549-0401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00021568
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051551974
—
AL
Enumeration date
08/01/2006
Last updated
10/22/2019
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