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TIMOTHY G DAY M.D.
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1124083449
Individual Registrant: TIMOTHY G DAY M.D.
Gender: M
Sole Proprietor
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
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
Tel: 334-222-4191 Fax: 334-222-9069
Registration Information:
NPI: 1124083449
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | AL | 12156 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD AL | 51080715 | AL | 01 |
| BLUE CROSS BLUE SHIELD AL | 51097096 | AL | 01 |
| 000080715 | AL | 05 |
