NPI 1164004420
Tina Wallace
Practice location
- Address
- 2408 Carson Rd Unit 1, Birmingham, AL 35215-3102
- Phone
- (205) 757-0249
- Mailing address
- 725 Sunhill Rd NW APT H, Center Point, AL 35215-3043
Registered specialties
Home Infusion Agency
Primary
Registry record
- NPI
- 1164004420
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Apr 2021
- Record last updated
- 26 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.