Provider Demographics
NPI:1568493948
Name:TINKER, CORY R (MD)
Entity Type:Individual
Prefix:
First Name:CORY
Middle Name:R
Last Name:TINKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 BROOKWOOD MEDICAL CTR DR STE 310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6823
Mailing Address - Country:US
Mailing Address - Phone:205-877-2121
Mailing Address - Fax:205-877-2569
Practice Address - Street 1:2006 BROOKWOOD MEDICAL CTR DR STE 310
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6823
Practice Address - Country:US
Practice Address - Phone:205-877-2121
Practice Address - Fax:205-877-2569
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME142803207V00000X
TNMD028518207V00000X
ALMD43396207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL278338Medicaid
TN3059778OtherBCBS
TN3807486Medicaid
TN380746Medicare PIN