| Doctor Name: | DOUGLAS C TILT |
| NPI Number: | 1871561282 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 6824 |
| Business Practice Address: | 1521 11th Ave S Birmingham, AL - 352053503 |
| Business Phone Number: | 2059962760 |
| Business Fax Number: | 2052979411 |
| Mailing Address: | Po Box 55310, BIRMINGHAM |
| State: | AL |
| Postal Code: | 352555310 |
| Phone Number: | 2057319701 |
| Fax Number: | 2052979411 |
| NPI Enumeration Date: | 03/10/2006 |
| NPI Last Update Date: | 07/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 6824 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |