Provider Demographics
NPI:1265403448
Name:MOTT, TIMOTHY FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:FRANCIS
Last Name:MOTT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1851 N MCKENZIE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-4703
Mailing Address - Country:US
Mailing Address - Phone:251-949-3479
Mailing Address - Fax:251-949-3434
Practice Address - Street 1:1851 N MCKENZIE ST STE 101
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-4703
Practice Address - Country:US
Practice Address - Phone:251-424-1232
Practice Address - Fax:251-424-1954
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2020-11-13
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Provider Licenses
StateLicense IDTaxonomies
AL20216207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL219957Medicaid