Individual
TIMOTHY R TOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1815 HAND AVE, BAY MINETTE, AL 36507-4110
(251) 937-5521
Mailing address
PO BOX 10583, BIRMINGHAM, AL 35202-0583
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO.339
AL
207Q00000X
Family Medicine Physician
02283
KY
207Q00000X
Family Medicine Physician
DO.339
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911817
—
AL
05
—
009911818
—
AL
05
—
009911819
—
AL
05
—
009911821
—
AL
01
—
1831174390
TRICARE SOUTH
AL
01
—
510-06886
BCBS
AL
01
—
510-06888
BCBS
AL
01
—
510-06892
BCBS
AL
01
—
51006894
BCBS
AL
05
—
64022833
—
KY
Enumeration date
12/07/2005
Last updated
08/16/2024
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