Tina Wallace
Tina Wallace is a Home Infusion Agency in Birmingham, Alabama. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2408 Carson Rd Unit 1Birmingham, AL 35215-3102
Phone: (205) 757-0249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Infusion Agency (primary) | Taxonomy 251F00000X |
|---|
Record details
| NPI number | 1164004420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 26, 2021 |
| Last updated in NPPES | April 26, 2021 |
| Certification date | April 26, 2021 |
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