Provider Demographics
NPI:1265433494
Name:MCGRAW, TIMOTHY ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ANDREW
Last Name:MCGRAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:833 SAINT VINCENTS DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1606
Mailing Address - Country:US
Mailing Address - Phone:205-933-4640
Mailing Address - Fax:205-939-4519
Practice Address - Street 1:833 SAINT VINCENTS DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1606
Practice Address - Country:US
Practice Address - Phone:205-933-4640
Practice Address - Fax:205-939-4519
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9412091-1205207N00000X
MEMD29295207N00000X
ALMD.35820207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL512-00033OtherBCBS PROVIDER NUMBER