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TIMOTHY G DAY M.D.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1124083449

Individual Registrant:
 TIMOTHY G DAY M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
125 MEDICAL PARK DR SUITE 106 ANDALUSIA, AL 36420-5316 US
Tel: 334-222-4191  Fax: 334-222-9069

Contact information for business:
PO BOX 158  ANDALUSIA, AL 36420-1202 US
Tel: 334-222-4191  Fax: 334-222-9069

Registration Information:
NPI: 1124083449
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
AL12156

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD AL51080715AL01
BLUE CROSS BLUE SHIELD AL51097096AL01
000080715AL05




HEALTH CARE JOBS AL - Page 1



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