Individual provider · Type 1 NPI

Timothy Scott Blackwell Jr., MD

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1912693706 Active

Practice location

625 19th St S
Birmingham, AL 35233-1900

Call (205) 934-7008 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912693706

Timothy Scott Blackwell Jr., MD's National Provider Identifier is 1912693706, issued on Apr 13, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on Apr 13, 2023.