Provider Demographics
NPI:1235180431
Name:TROTTER-TILTON, ELIZABETH MCANNALLY (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MCANNALLY
Last Name:TROTTER-TILTON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:10300 BAILEY COVE RD SE
Mailing Address - Street 2:SUITE 13
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-2635
Mailing Address - Country:US
Mailing Address - Phone:256-880-6138
Mailing Address - Fax:256-881-4619
Practice Address - Street 1:10300 BAILEY COVE RD SE
Practice Address - Street 2:SUITE 13
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-2635
Practice Address - Country:US
Practice Address - Phone:256-880-6138
Practice Address - Fax:256-881-4619
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL19423207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG21267Medicare UPIN