Individual provider · Type 1 NPI

Timothy Tisdale, PA-C

Physician Assistant · Fairhope, AL

NPI number 1770172785 Active

Practice location

188 Hospital Dr Ste 100
Fairhope, AL 36532-2038

Mailing address

2451 University Hospital Dr
Mobile, AL 36617-2300

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.1693 (AL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1770172785

Timothy Tisdale, PA-C's National Provider Identifier is 1770172785, issued on Jan 13, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairhope, AL. The record was last updated on Sep 11, 2023.