Stephenie B Wallace
M.D. | Pediatric Adolescent Medicine | Female
Stephenie B Wallace, M.D. is a Birmingham, Alabama based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Stephenie B Wallace is
1600 7th Ave S, Birmingham, Alabama - 35233-1711. She can be contacted on phone at
205-939-9345 and fax number 205-975-7307.
Stephenie B Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Stephenie B Wallace is
1417977646 which was assigned by NPPES on 20 Jul, 2006 and it was last updated on 13 Jan, 2011.
Stephenie B Wallace license number is
25999 for Pediatrics Adolescent Medicine (2080A0000X) in Alabama.
Stephenie B Wallace specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Stephenie B Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Stephenie B Wallace |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Stephenie B Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1600 7th Ave S
Birmingham, AL, 35233-1711
United States |
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| Phone Number : | 205-939-9345 |
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| Fax Number : | 205-975-7307 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417977646 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jul, 2006 |
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| Last Updated On : | 13 Jan, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephenie B Wallace are as mentioned. Primary taxonomy code for Stephenie B Wallace, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 25999 | AL |
Legacy Identifiers:
Other legacy medical identifiers of Stephenie B Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 009958245 | MEDICAID | AL | |
| 009958265 | MEDICAID | AL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 703 Volker Hall
Birmingham, AL, 35294-0001
United States |
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| Phone Number : | 205-939-9345 |
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| Fax Number : | 205-975-7307 |
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Business Location:
Patients can refer following map for directions to
Stephenie B Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.