Individual
DOUGLAS C TILT
Active
Individual
DOUGLAS C TILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
06824
AL
208D00000X
General Practice Physician
6824
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051517024
BLUE CROSS
AL
05
—
051553947
—
AL
01
—
110117930
RAILROAD MEDICARE
—
Enumeration date
03/10/2006
Last updated
07/22/2011
Update your record
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