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1770172785
TIMOTHY TISDALE
FAIRHOPE, AL
NPI
1770172785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL PA.1693)
Enumeration Date
2021-01-13
Last Update Date
2023-09-11
Business Address
TIMOTHY TISDALE PA-C
188 HOSPITAL DR STE 100
FAIRHOPE, AL 36532-2038
Phone number: 251-607-9797
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Mailing Address
TIMOTHY TISDALE PA-C
2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617-2300
Phone number:
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