Individual
DR. TIMOTHY M ILIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 SANDPIPER LN, DAPHNE, AL 36526-4615
(251) 460-0326
(251) 460-2846
Mailing address
PO BOX 9158, MOBILE, AL 36691-0158
(251) 460-0326
(251) 460-2846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10759
AL
207R00000X
Internal Medicine Physician
Primary
10759
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080180145
RR MEDICARE
AL
05
—
009926395
—
AL
05
—
009937995
—
AL
05
—
009938315
—
AL
05
—
009980670
—
AL
05
—
009989605
—
AL
01
—
051514784
BCBS OF AL
AL
01
—
051514787
BCBS OF AL
AL
01
—
051519010
BCBS OF AL
AL
01
—
051527785
BCBS OF AL
AL
01
—
05158632
BCBS OF AL
AL
Enumeration date
11/10/2005
Last updated
05/23/2023
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