Individual
TIMOTHY BLAKE LOVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 MONTGOMERY HWY, HOOVER, AL 35216-4510
(205) 330-1707
Mailing address
3909 MCFARLAND BLVD, NORTHPORT, AL 35476-2838
(205) 330-1707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.32643
AL
207Q00000X
Family Medicine Physician
32643
AL
Other
Enumeration date
04/06/2012
Last updated
03/27/2017
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