Provider Demographics
NPI:1831282896
Name:ALWARD, TIM LLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:TIM
Middle Name:LLOYD
Last Name:ALWARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:50 E WILLOW ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NASHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47448
Mailing Address - Country:US
Mailing Address - Phone:812-988-6141
Mailing Address - Fax:812-988-7323
Practice Address - Street 1:50 E WILLOW ST
Practice Address - Street 2:SUITE B
Practice Address - City:NASHVILLE
Practice Address - State:IN
Practice Address - Zip Code:47448
Practice Address - Country:US
Practice Address - Phone:812-988-6141
Practice Address - Fax:812-988-7323
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2010-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01023808A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100066480BMedicaid
IN224340Medicare ID - Type Unspecified
IN100066480BMedicaid