Individual
TIMOTHY TROY MCMICHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 SIVLEY SWRD 500, HUNTSVILLE, AL 35801-5177
(256) 265-3880
(256) 265-3886
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-3880
(256) 265-3886
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17040
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000078543
MEDICARE
AL
01
—
000078545
MEDICARE
AL
01
—
000078546
MEDICARE
AL
01
—
51078543
BCBS
AL
01
—
51078545
BCBS
AL
01
—
51078546
BCBS
AL
01
—
D084
MEDICARE
AL
01
—
E706
MEDICARE
AL
01
—
G423
MEDICARE
AL
Enumeration date
04/25/2006
Last updated
10/19/2015
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