Individual
TIMOTHY CARVER MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-087011
AL
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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