Provider Demographics
NPI:1669491957
Name:NORSWORTHY, TWYLA NASH (MD)
Entity Type:Individual
Prefix:
First Name:TWYLA
Middle Name:NASH
Last Name:NORSWORTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 SAINT VINCENTS DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1601
Mailing Address - Country:US
Mailing Address - Phone:205-930-2456
Mailing Address - Fax:205-930-2469
Practice Address - Street 1:810 SAINT VINCENTS DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1601
Practice Address - Country:US
Practice Address - Phone:205-930-2456
Practice Address - Fax:205-930-2469
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-4103207V00000X
TN40037207V00000X
ALMD.31717207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN40037OtherST MED LICENSE
AR154598001Medicaid
ALMD.31717OtherSTATE LICENSE
ARE-4103OtherSTATE LICENSE
ALMD.31717OtherSTATE LICENSE