Individual
DR. TIMOTHY L EAKES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 HIGHWAY 231 SOUTH, TROY, AL 36081
(334) 566-2783
(334) 670-5369
Mailing address
2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL 36117
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00005606
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51001956
BLUE CROSS
AL
Enumeration date
09/22/2006
Last updated
07/08/2007
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